| NPI | 1295193050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN H BARDEN Owner/Optometrist 248-798-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004092) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004092) |
| 152WP0200X Optometrist, Pediatrics (Licence: MI 4901004092) | |
| 152WS0006X Optometrist, Sports Vision (Licence: MI 4901004092) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |