| NPI | 1003931601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE CONENS President 616-949-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004140) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901002933) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-09-18 |