| NPI | 1013197326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE N. DONOVAN Ocularist 734-425-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5001000008) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-12-05 |