| Pearle Vision | |
|
1982 W Grand River Ave Okemos MI 48864-1736 | |
| (517) 349-2050 | |
| (517) 349-7209 |
| Full Name | Pearle Vision |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1982 W Grand River Ave, Okemos, Michigan |
| Authorized Official Name and Position | Stephen Phillip Thompson (OWNER) |
| Authorized Official Contact | 5173492050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearle Vision 1982 W Grand River Ave Okemos MI 48864-1736 Ph: (517) 349-2050 | Pearle Vision 1982 W Grand River Ave Okemos MI 48864-1736 Ph: (517) 349-2050 |
| NPI Number | 1639405111 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639405111 | NPI | - | NPPES |
| 4901003790 | Other | MI | STETE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4901003790 (Michigan) | Primary |
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