| NPI | 1174261218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HAZEN Medical Director 989-797-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 156FX1700X Technician/Technologist Ocularist |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-02-22 |