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Lake Lazer Eye Center
Preferred Provider Organization in Novi, Michigan
NPI 1376732388

Lake Lazer Eye Center is a Preferred Provider Organization based in Novi, MI. Lake Lazer Eye Center practices in Novi, MI. The NPI Number for Lake Lazer Eye Center is 1376732388 and holds a License No. SK070791 (Michigan).

The current practice location address for Lake Lazer Eye Center is 44000 W 12 Mile Rd, Novi, MI and can be reached out via phone at 586-792-3891.

Location: 44000 W 12 Mile Rd, Novi, MI, 48377-2644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376732388
Provider Name
Lake Lazer Eye Center
Credential
Provider Entity Type
Organization
Address
44000 W 12 Mile Rd, Novi, MI, 48377-2644
Phone Number
586-792-3891
Fax Number
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H42351 01 MI HAP
0501160 01 MI BLUE CARE NETWORK
140631 01 MI GREAT LAKES
4606945 05 MI
0501160 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
44000 W 12 Mile Rd
City
Novi
State
Michigan
Zip
48377-2644
Phone Number
586-792-3891
Fax Number
person
Provider Business Mailing Address Details
Address
44000 W 12 Mile Rd
City
Novi
State
Michigan
Zip
48377-2644
Phone Number
586-792-3891
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
SK070791 (Michigan)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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