Doctor Name: | DR. PAUL KENT VOREIS |
NPI Number: | 1205827383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 4901002567 |
Business Practice Address: | 17901 Huron River Dr Suite 101 New Boston, MI - 481643200 |
Business Phone Number: | 7347539360 |
Business Fax Number: | 7347539311 |
Mailing Address: | 21947 Canterbury Ave, GROSSE ILE |
State: | MI |
Postal Code: | 481381308 |
Phone Number: | 7346761444 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2005 |
NPI Last Update Date: | 03/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | 4901002567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |