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BLACK AND WHITE LOOK OPTICAL CORPORATION NPI 1679660849


NPI Information

NPI: 1679660849
Provider Name: BLACK AND WHITE LOOK OPTICAL CORPORATION
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
15675 W TEN MILE RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 557-6444
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BLACK AND WHITE LOOK OPTICAL CORPORATION is an optometrist in Southfield, MI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BLACK AND WHITE LOOK OPTICAL CORPORATION NPI is 1679660849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15675 W TEN MILE RD
SOUTHFIELD, MI
ZIP 48075-188
Phone: (248) 557-6444
Fax: (248) 557-6501

The provider's authorized official is Phyllis Frye .
The authorized official title is Office Manager and has the following contact phone number (248) 557-6444.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 3/8/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1024599OTHERMICHIGANMIDWEST HEALTH PIN
26719OTHERMICHIGANCO/OP PIN
3900F378590OTHERMICHIGANBLUE CROSS PIN#
40P25880MEDICARE PINMICHIGAN
5113750OTHERMICHIGANTOTAL HEALTH PIN#
60F37859OTHERMICHIGANBLUE CROSS FEDERAL
7230892OTHERMASSACHUSETTSNVA PIN#
83282118MEDICAIDMICHIGAN
9=========OTHERMICHIGANTAX ID #

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: 4/28/2024

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