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NPI Code Detail

MEDICARE: OAKLAND EYE CLINIC,PC

MEDICARE: OAKLAND EYE CLINIC,PC
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
1174400000XSpecialistRH064286MI

General Provider Information

NPI Number : 1760687495
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLAND EYE CLINIC,PC
Provider Business Mailing Address
First Line : 75 BARCLAY CIR
Second Line : SUITE 100
City : ROCHESTER HILLS
State : MI
Zip : 48307-5803
Country : US
Telephone Number : 248-856-6500
Fax Number : 248-856-6504
Provider Business Practice Location Address
First Line : 75 BARCLAY CIR
Second Line : SUITE 100
City : ROCHESTER HILLS
State : MI
Zip : 48307-5803
Country : US
Telephone Number : 248-856-6500
Fax Number : 248-856-6504
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROXANA HAKIMZADEH
Credential : M.D.
Telephone Number : 248-856-6500
Provider Enumeration Date : 06/21/2007
Last Update Date : 09/26/2012

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Directions to “OAKLAND EYE CLINIC,PC ” Practice Location

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