NPI | 1487070710 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE CHRISTOPHER NEWTON Doctor/Owner 989-667-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004072) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |