| NPI | 1154469633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN MARSTON-FOUCHER President 734-421-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002789) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-05-27 |