Provider Demographics
NPI:1740914480
Name:CANTON EYE CENTER PLLC
Entity type:Organization
Organization Name:CANTON EYE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSASN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:313-522-4481
Mailing Address - Street 1:6750 DACOSTA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2534
Mailing Address - Country:US
Mailing Address - Phone:313-522-4481
Mailing Address - Fax:313-454-4112
Practice Address - Street 1:6750 DACOSTA ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2534
Practice Address - Country:US
Practice Address - Phone:313-522-4481
Practice Address - Fax:313-454-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-09
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty