Northville Vision Clinic Pc

NPI Registration Record

Provider / Organization	NPI	Date Certified
NORTHVILLE VISION CLINIC PC	1215136353	2022-12-03

The organization Northville Vision Clinic Pc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1215136353. Registration indicates Northville Vision Clinic Pc is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)

Entity Type	Organization

Provider Organization	NORTHVILLE VISION CLINIC PC
Practice Office Address	42000 6 MILE RD STE 200 NORTHVILLE, MI US
Practice Office Telephone	2483481330
Practice Office Fax	2483487107
Mailing Address	42000 6 MILE RD STE 200 NORTHVILLE, MI 481684379 US
Business Telephone	2483481330
Business Fax	2483487107
Authorized Official	TODD ADELSON, PRESIDENT 2483481330

HPT Codes

Code	Practice	License No State
152W00000X PRIMARY	Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers
193400000X SING		Group Code

OPI Codes

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