NPI | 1124338736 |
---|---|
Doing Business As | IN FOCUS EYECARE OF ROCKFORD |
Entity Type | Organization |
Authorized Contact | MARK SWAN Owner 616-866-3077 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003186) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MI 4901003186) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2016-09-09 |