| NPI | 1306269436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE MANN Billing Manager 248-569-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |