| NPI | 1306963921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAY ZUCKERMAN President 248-476-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-08-26 |