| NPI | 1255779211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL SURESHCHANDRA PATEL Optometrist 734-674-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004767) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-12-05 |