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NPI Code Detail

MEDICARE: VISION PLAN INCORPORATED

MEDICARE: VISION PLAN INCORPORATED
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1548480668
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION PLAN INCORPORATED
Provider Business Mailing Address
First Line : 655 W 13 MILE RD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-1844
Country : US
Telephone Number : 248-577-3637
Fax Number :
Provider Business Practice Location Address
First Line : 655 W 13 MILE RD
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-1844
Country : US
Telephone Number : 248-577-3637
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : LAURA WALSH
Credential :
Telephone Number : 248-577-3637
Provider Enumeration Date : 04/30/2007
Last Update Date : 08/22/2020

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Directions to “VISION PLAN INCORPORATED ” Practice Location

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