| NPI | 1487899928 |
|---|---|
| Other Name | LAKE ARBOR VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA PARKS Billing Manager 517-231-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1277) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA1277) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TA1277) | |
| 152WP0200X Optometrist, Pediatrics (Licence: TA1277) | |
| 152WS0006X Optometrist, Sports Vision (Licence: MD TA1277) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2024-12-09 |