Provider Demographics
NPI:1891754289
Name:HOEY, SALLY ELIZABETH (OD)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:ELIZABETH
Last Name:HOEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W TROY ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1662
Mailing Address - Country:US
Mailing Address - Phone:248-398-6225
Mailing Address - Fax:
Practice Address - Street 1:1250 W TROY ST
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1662
Practice Address - Country:US
Practice Address - Phone:248-398-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004105152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist