| NPI | 1508955709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN BRODOSKI Optician President 734-953-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-12-01 |