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NPI Code Detail

MEDICARE: OAKLAND OPTOMETRY, P.C.

MEDICARE: OAKLAND OPTOMETRY, P.C.
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
1152W00000XOptometrist4901003127MI

General Provider Information

NPI Number : 1942212550
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLAND OPTOMETRY, P.C.
Provider Business Mailing Address
First Line : 4970 N ADAMS RD
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-1416
Country : US
Telephone Number : 248-373-6500
Fax Number : 248-373-6555
Provider Business Practice Location Address
First Line : 4970 N ADAMS RD
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-1416
Country : US
Telephone Number : 248-373-6500
Fax Number : 248-373-6555
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK JOHN ROY
Credential : O.D.
Telephone Number : 248-373-6500
Provider Enumeration Date : 08/12/2006
Last Update Date : 08/22/2020

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Directions to “OAKLAND OPTOMETRY, P.C. ” Practice Location

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