MEDICARE: SHOREPOINTE OPTICAL 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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1750465530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOREPOINTE OPTICAL INC

Provider Business Mailing Address
First Line	:	21711 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21711 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2418
Country	:	US
Telephone Number	:	586-774-9320
Fax Number	:	586-774-3640

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES KLEIN
Credential	:	M.D.
Telephone Number	:	586-774-9320

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	03/29/2012

Similar Medicare Providers

1104828482 — JAMES W KLEIN MD
Practice Location Address:

21711 GREATER MACK AVE
ST CLAIR SHORES, MI
48080-2418

Practice Phone: 586-774-0393
Practice Fax:

1225030596 — MARIANN M CHANNELL MD
Practice Location Address:

21711 GREATER MACK AVE
ST CLAIR SHORES, MI
48080-2418

Practice Phone: 586-774-0393
Practice Fax:

1811991391 — MARK E BERNTHAL OD
Practice Location Address:

21711 GREATER MACK AVE
ST CLAIR SHORES, MI
48080-2418

Practice Phone: 586-774-0393
Practice Fax:

1215939673 — DR. DANIELA MARIA RODRIGUEZ
Practice Location Address:

21727 MACK AVE
SAINT CLAIR SHORES, MI
48080-2418

Practice Phone: 586-777-7260
Practice Fax: 586-777-7265

1467408914 — RICHARD C MERTZ JR MD PC
Practice Location Address:

21711 GREATER MACK AVE
ST CLAIR SHORES, MI
48080-2418

Practice Phone: 586-774-0393
Practice Fax:

1780628511 — DANIELA RODRIGUEZ MD PLC
Practice Location Address:

21727 GREATER MACK AVE
ST CLAIR SHORES, MI
48080-2418

Practice Phone: 586-777-7260
Practice Fax: 586-777-7265

Directions to “SHOREPOINTE OPTICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.