NPI | 1467625673 |
---|---|
Doing Business As | BAYVIEW OPTICAL |
Entity Type | Organization |
Authorized Contact | GERALD NORMAN BLAIZE President 248-482-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003562) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2017-02-27 |