MEDICARE: SEE 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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1861759243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEE INC

Provider Business Mailing Address
First Line	:	19800 W 8 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-5730
Country	:	US
Telephone Number	:	314-721-4065
Fax Number	:	314-721-4093

Provider Business Practice Location Address
First Line	:	1155 SAINT LOUIS GALLERIA
Second Line	:	STE 1134
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1159
Country	:	US
Telephone Number	:	248-354-7100
Fax Number	:	248-353-1603

Authorized Official
Title or Position	:	GROUP BILLING MANAGER
Name	:	MRS. MARY E WALKER
Credential	:
Telephone Number	:	248-354-7100

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	04/23/2012

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Directions to “SEE INC ” Practice Location

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