Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901004374 | MI |
NPI | 1003915737 |
---|---|
Provider Name | Dr. Erik Henry Belcarz |
First Address | Troy, MI 48083-6802 |
Second Address | Farmington Hills, MI 48334-3225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 06/06/2019 |