| NPI | 1013689819 |
|---|---|
| Doing Business As | 316 OPTOMETRY LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA LYN-SHOOP GARCIA Optometrist Owner 269-649-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |