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NPI Code Detail

MEDICARE: PCOR LLC

MEDICARE: PCOR LLC
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
1152W00000XOptometrist4901003824MI

General Provider Information

NPI Number : 1720033343
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCOR LLC
Provider Business Mailing Address
First Line : 735 JOHN R RD STE 150
Second Line :
City : TROY
State : MI
Zip : 48083-5859
Country : US
Telephone Number : 248-588-9300
Fax Number : 248-588-3355
Provider Business Practice Location Address
First Line : 735 JOHN R RD STE 150
Second Line :
City : TROY
State : MI
Zip : 48083-5859
Country : US
Telephone Number : 248-588-9300
Fax Number : 248-588-3355
Authorized Official
Title or Position : VP
Name : MICHAEL DUNN
Credential :
Telephone Number : 248-588-9300
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/06/2026

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Directions to “PCOR LLC ” Practice Location

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