NPI | 1154590107 |
---|---|
Doing Business As | IRON RIVER VISION CLINIC |
Entity Type | Organization |
Authorized Contact | STEVEN A BATHJE Optometrist 906-265-9948 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901002844) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-06-16 |