| NPI | 1538179080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK NELSON DERR President 248-852-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-07-21 |