| NPI | 1275640740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HASS President 989-845-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002552) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901002552) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901002808) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-10-25 |