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 |