| NPI | 1528485703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY PAUL LIZYNESS O PT Ometrist 734-891-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004254) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |