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NPI Code Detail

MEDICARE: DR. ERIC CARL WEBB O.D.

MEDICARE: DR. ERIC CARL WEBB O.D.
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
1152W00000XOptometrist4901004113MI

General Provider Information

NPI Number : 1437154564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC CARL WEBB O.D.
Provider Business Mailing Address
First Line : 34347 LILLIAN RD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48047-3127
Country : US
Telephone Number : 586-725-0257
Fax Number :
Provider Business Practice Location Address
First Line : 45400 MARKETPLACE BLVD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-3279
Country : US
Telephone Number : 586-421-1274
Fax Number : 586-421-1276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/26/2009

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Directions to “ DR. ERIC CARL WEBB O.D.” Practice Location

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