NPI 1417070392

Family Optometry Associates, P.C.

Organisation Eyewear Supplier Southfield, MI

Practice location

Address: 26771 W 12 Mile Rd Suite 100, Southfield, MI 48034-1539
Phone: (248) 263-4900
Fax: (248) 263-4903

Authorised official

Name: William Jerry Lindahl
Title: President
Phone: (248) 263-4900

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 4901002652 (MI)

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Registry record

NPI: 1417070392
Entity type: Organization
NPI issued: 7 Apr 2007
Record last updated: 7 Jul 2012

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.