| NPI | 1114223377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MANSUY Managed Care Manager 248-719-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332G00000X Eye Bank |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-04-18 |