| Doctor Name: | MARY DARLENE NEELY |
| NPI Number: | 1396128039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 152WL0500X |
| Business Practice Address: | 3756 15th St Ecorse, MI - 482291332 |
| Business Phone Number: | 3137720145 |
| Business Fax Number: | |
| Mailing Address: | 3756 15th St, ECORSE |
| State: | MI |
| Postal Code: | 482291332 |
| Phone Number: | 3137720145 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 152WL0500X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |