| NPI | 1386637957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETER HOLICKI Owner 517-279-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004481) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2012-03-23 |