Provider Demographics
NPI:1861528333
Name:CENTER OPTICAL COMPANY
Entity type:Organization
Organization Name:CENTER OPTICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TARNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-541-8686
Mailing Address - Street 1:728 W 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3206
Mailing Address - Country:US
Mailing Address - Phone:248-541-8686
Mailing Address - Fax:248-545-4999
Practice Address - Street 1:728 W 11 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3206
Practice Address - Country:US
Practice Address - Phone:248-541-8686
Practice Address - Fax:248-545-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty