| NPI | 1407223746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAE CLAUDIO Owner/O PT Ometrist 248-342-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |