| Organization Name: | PCOR LLC |
| NPI Number: | 1609042035 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL ELIAS (DIRECTOR OF FINANCE) |
| Mailing Address: | 15401 E Jefferson Ave Grosse Pointe Park |
| State: | MI US |
| Postal Code: | 482301328 |
| Phone Number: | 3138228000 |
| Fax Number: | 2483079518 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |