| NPI | 1033390745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH MARTIN O PT Ometrist 989-662-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004017) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |