| NPI | 1356379929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER HANFORD President 231-933-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003271) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-12-20 |