| NPI | 1225799372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KUZNIAR Owner 989-284-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |