MEDICARE: SVC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1376790279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SVC INC.

Provider Business Mailing Address
First Line	:	675 E BIG BEAVER RD
Second Line	:	SUITE 211
City	:	TROY
State	:	MI
Zip	:	48083-1418
Country	:	US
Telephone Number	:	248-619-9362
Fax Number	:	248-619-9371

Provider Business Practice Location Address
First Line	:	675 E BIG BEAVER RD
Second Line	:	SUITE 211
City	:	TROY
State	:	MI
Zip	:	48083-1418
Country	:	US
Telephone Number	:	248-619-9362
Fax Number	:	248-619-9371

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ANNA MARIA RAYMOND
Credential	:
Telephone Number	:	248-619-9362

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	07/13/2009

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Directions to “SVC INC. ” Practice Location

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