Organization · Type 2 NPI

Joel L Pelavin MD PC

Eyewear Supplier · St. Clair Shores, MI

NPI number 1164559605 Active

Practice location

29750 Harper Ave
St. Clair Shores, MI 48082-2607

Fax (586) 296-9617

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XJP042865 (MI)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1164559605

Joel L Pelavin MD PC's National Provider Identifier is 1164559605, issued on Feb 28, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 20, 2008.