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 |