| NPI | 1356745442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN FISHER Owner/President 906-635-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004442) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |