| Organization Name: | MEDICAL EYE CLINIC, PLLC |
| NPI Number: | 1225269590 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY H. STOLICKER (OWNER/OPTOMETRIST) |
| Mailing Address: | 1621 E M 21 Owosso |
| State: | MI US |
| Postal Code: | 488679053 |
| Phone Number: | 9897291519 |
| Fax Number: | 9897287823 |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 08/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 4901004432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |