| NPI | 1033248000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DEAN GOLDBERG President 248-674-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002961) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-07-03 |