| NPI | 1265640700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WATTS President 989-892-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-02-28 |