Provider Demographics
NPI:1588844567
Name:ANN ARBOR OPTOMETRY, PLLC
Entity Type:Organization
Organization Name:ANN ARBOR OPTOMETRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SORTOR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:734-649-7484
Mailing Address - Street 1:2433 OAK VALLEY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-7602
Mailing Address - Country:US
Mailing Address - Phone:734-994-0100
Mailing Address - Fax:734-424-2751
Practice Address - Street 1:2433 OAK VALLEY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-7602
Practice Address - Country:US
Practice Address - Phone:734-994-0100
Practice Address - Fax:734-424-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty