| NPI | 1255701710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE JADE DENTON Owner/Optometrist 734-945-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 2148) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2021-08-20 |