Provider Demographics
NPI:1316075070
Name:SLUSKY, MICHAEL A (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:SLUSKY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:11700 MEZZO DRIVE
Mailing Address - Street 2:OPTOMETRIST'S OFFICE
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34923
Mailing Address - Country:US
Mailing Address - Phone:941-548-4758
Mailing Address - Fax:941-548-4786
Practice Address - Street 1:11700 MEZZO DRIVE
Practice Address - Street 2:OPTOMETRIST'S OFFICE
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34923
Practice Address - Country:US
Practice Address - Phone:941-548-4785
Practice Address - Fax:941-548-4786
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC5779152W00000X
IL046-008926152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist