| NPI | 1376780825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J. ATKINS Office Manager 989-269-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002842) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |