| NPI | 1255356903 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision | 
| 152WC0802X Optometrist, Corneal and Contact Management | |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 152WV0400X Optometrist, Vision Therapy | |
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2021-05-03 |