Mac Optical

Optometrist · Fenton, MI

Organization Active NPI

NPI number 1114114428

Practice location

1425 N Leroy St
Fenton, MI 48430-2763
Phone
(810) 629-2041
Fax
(810) 629-9366

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NPI record

NPI
1114114428
Entity type
Organization (Type 2)
Enumeration date
October 1, 2007
Last updated
March 13, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 4901003723 MI

Authorized official

Name
Mrs. Denise Marie Hendricks
Title
Office Administrator
Phone
(248) 887-4861

Other names

  • Diamond Optical Care

About Mac Optical

Mac Optical is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1425 N Leroy St, Fenton, MI 48430-2763. The NPI number 1114114428 was assigned on October 1, 2007 and the record was last updated on March 13, 2008.

Mac Optical lists a license in the registry: #4901003723 (MI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Denise Marie Hendricks, Office Administrator.

Frequently asked questions

What is the NPI number of Mac Optical?

The NPI number is 1114114428.

What is the phone number of Mac Optical?

The phone number listed for the practice location is (810) 629-2041.

Where is Mac Optical located?

1425 N Leroy St, Fenton, MI 48430-2763.

What is the taxonomy code for Mac Optical?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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