| NPI | 1205947744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOUGLAS DOLAN Officer 586-776-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |