| NPI | 1043885262 |
|---|---|
| Former Name | MADELEINE J MCBAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH opt006975) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004544A) |
| 152W00000X Optometrist (Licence: MI 4901005763) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-08-04 |