MONROE VISION SOURCE NPI 1174920748

NPI Information

  • NPI: 1174920748
  • Provider Name: MONROE VISION SOURCE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: DONAHUE EYECARE
  • CLIA Number: 23D2125383
  • Address: 750 STEWART RD
    MONROE, MI
    ZIP 48162
  • Phone: (734) 242-8630

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NPI Details

MONROE VISION SOURCE is a clinic center in Monroe, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MONROE VISION SOURCE NPI is 1174920748. The provider is registered as an organization entity type.
The provider Is Doing Business As Donahue Eyecare.

The provider's business location address is:

750 STEWART RD
MONROE, MI
ZIP 48162-291
Phone: (734) 242-8630

The provider's authorized official is James Hardie .
The authorized official title is Optometrist and has the following contact phone number (517) 331-1580.

The CLIA number assigned to this NPI record is 23D2125383 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2014 and was last updated on 11/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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