| NPI | 1336849074 |
|---|---|
| Former Legal Business Name | MICHIGAN OPTICAL |
| Doing Business As | MICHIGAN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK CEO 636-227-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-04-10 |