| NPI | 1528082070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S RIEMER CEO 231-845-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-06-14 |