| NPI | 1528112497 |
|---|---|
| Doing Business As | COOP OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT EVANGELISTA Owner 313-366-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-07-03 |