| NPI | 1205151503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNA HABA Owner 586-731-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WS0006X Optometrist, Sports Vision | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-05-18 |