| NPI | 1326411661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA NICOLE SPALDING Sole Owner 989-619-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 0000003215) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |