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Andersen Eye Prosthetics, LLC — NPI 1235510892, Detroit, MI | NPI Central

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NPI 1235510892

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Andersen Eye Prosthetics, LLC

NPI 1235510892 · Ocularist · Detroit, MI

Provider details

NPI number: 1235510892
Entity type: Organization
Primary specialty: OcularistEye and Vision Services Providers
Organization subpart: No
Authorized official: Gregory Hazen, Medical Director(989) 249-1030

Specialties & taxonomies

OcularistPrimary156FX1700X
Eye and Vision Services Providers

Practice location

4719 Saint Antoine St

Detroit, MI 48201-1423

Phone: (989) 249-1030

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

Po Box 5649

Saginaw, MI 48603-0649

Registry dates

Enumerated: 2015-06-09
Last updated: 2016-02-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.