| NPI | 1386807105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L SUSSEX Owner President 517-278-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002544) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |