| NPI | 1497721799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS IRA CHAIKEN President 248-553-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-04-26 |