| NPI | 1114904588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G STEWART Optometrist/Owner 231-947-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004160) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-08-26 |