| NPI | 1467475723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E HIGGINS Owner 269-329-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-02-18 |