| NPI | 1174920748 |
|---|---|
| Doing Business As | GREAT LAKES VISION CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES D HARDIE Owner 734-212-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2025-10-03 |