| NPI | 1346963758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINE R BAUER Owner Optometrist 989-906-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-11-23 |