| NPI | 1134310337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANN PAVEGLIO President 248-960-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901003026) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-03-07 |