NPI | 1265802789 |
---|---|
Doing Business As | THE EYE DOC SHOP |
Entity Type | Organization |
Authorized Contact | SARAH K HANSEN Owner/Optometrist 906-235-0433 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004641) |
Enumeration Date | 2015-09-26 |
Last Update Date | 2015-09-26 |