NPI 1033262217

Clarkston Vision LLC

Organisation Preferred Provider Organization Clarkston, MI

Practice location

Address: 7196 N Main St, Clarkston, MI 48346-1571
Phone: (248) 620-2033
Fax: (248) 620-3809
Mailing address: 8110 Sleepy Time CT, Clarkston, MI 48348-2652

Authorised official

Name: Jennifer Lynn Pasfield
Title: Owner
Phone: (248) 620-2033

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1033262217
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 25 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.