NPI | 1417070392 |
---|---|
Other Name | FAMILY OPTOMETRY PC |
Entity Type | Organization |
Authorized Contact | WILLIAM JERRY LINDAHL President 248-263-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901002652) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2012-07-07 |