NPI | 1114274800 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN REED NELSON Optometrist/Owner 231-352-9141 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 4901002866) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-09-19 |