| NPI | 1114221538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH SUE NOSS LYNCH Owner/Optometrist 231-943-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004483) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |