| NPI | 1376794214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELIAS Vice President 248-577-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002296) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2021-12-10 |