NPI | 1487664546 |
---|---|
Other Name | OPTICAL |
Entity Type | Organization |
Authorized Contact | MARK W ULRICKSON Owner Partner 906-225-4512 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-09 |
Last Update Date | 2014-02-25 |