| NPI | 1104095165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. ARSULOWICZ O PT Ometrist 616-453-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: MI 4901002358) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-06-18 |