| NPI | 1083847776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN C PATRIAS President 517-787-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI MP404850) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901003044) |
| 152W00000X Optometrist (Licence: MI 4901004306) | |
| 174400000X Specialist (Licence: MI MC057919) | |
| 174400000X Specialist (Licence: MI SL085940) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-12-03 |