NPI | 1306916317 |
---|---|
Doing Business As | SHORELINE OPTICAL |
Entity Type | Organization |
Authorized Contact | MICHELLE CASSENS Executive Director 231-739-9009 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-08 |
Last Update Date | 2022-05-09 |