| NPI | 1154954741 |
|---|---|
| Doing Business As | ADVANCED EYE CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAKIA TISDALE Credentialing/Privileging 248-577-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |