Organization Name: | GARRY M. DEO, O.D. |
NPI Number: | 1497996474 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARRY M DEO (OWNER) |
Mailing Address: | 121 E Michigan Ave Saline |
State: | MI US |
Postal Code: | 481761552 |
Phone Number: | 7344299454 |
Fax Number: | 7344294100 |
NPI Enumeration Date: | 03/20/2009 |
NPI Last Update Date: | 03/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 4901002365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |