| NPI | 1194979047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS MILLER President 586-254-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002931) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |