MEDICARE: P-COR, 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
1	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0M30440	OTHER	MI	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1141070051	OTHER	MI	PTAN

General Provider Information

NPI Number	:	1821481078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P-COR, 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	:

Provider Business Practice Location Address
First Line	:	3271 UNION LAKE RD
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4550
Country	:	US
Telephone Number	:	248-360-0121
Fax Number	:	248-360-9007

Authorized Official
Title or Position	:	VP
Name	:	GAIL ELIAS
Credential	:
Telephone Number	:	248-588-9300

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	01/23/2020

Similar Medicare Providers

1194150243 — NANDINI LOHITHASWA O.D.
Practice Location Address:

3271 UNION LAKE RD
COMMERCE TOWNSHIP, MI
48382-4550

Practice Phone: 248-387-9595
Practice Fax:

1306921192 — DENISE WILSON O D P C
Practice Location Address:

3271 UNION LAKE RD
COMMERCE TWP, MI
48382-4550

Practice Phone: 248-360-0121
Practice Fax:

1154397859 — DVA RENAL HEALTHCARE INC
Practice Location Address:

30 COMMERCE RD
STAMFORD, CT
06902-4550

Practice Phone: 203-358-9969
Practice Fax: 203-359-9252

1609800606 — STAMFORD NEPHROLOGY, P.C.
Practice Location Address:

30 COMMERCE RD
STAMFORD, CT
06902-4550

Practice Phone: 203-324-7666
Practice Fax:

1174629588 — WILLIAM HAROLD HINES M.D.
Practice Location Address:

30 COMMERCE RD
STAMFORD, CT
06902-4550

Practice Phone: 203-324-7666
Practice Fax: 203-323-2541

1760588198 — DR. BRENDA SHANG CHAN MD
Practice Location Address:

30 COMMERCE RD
STAMFORD, CT
06902-4550

Practice Phone: 203-324-7666
Practice Fax: 203-323-2541

Directions to “P-COR, LLC ” 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.