| NPI | 1093029928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC DAVID ROBERTSON Optometrist 231-855-2132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60167669) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |