| NPI | 1275588840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DORAU Office Manager 586-739-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003013) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901003013) |
| 152WX0102X Optometrist, Occupational Vision (Licence: MI 4901003013) | |
| 152WP0200X Optometrist, Pediatrics (Licence: MI 4901003013) | |
| 152WS0006X Optometrist, Sports Vision (Licence: MI 4901003013) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901003013) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-12-29 |