NPI | 1134430309 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ERIC STRAIN Owner / O PT Ometrist 989-684-8840 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002874) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2012-04-30 |