| NPI | 1063680791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD K SHOKOOHI Owner/Md 989-793-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301040619) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2018-01-23 |