| 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 |