| NPI | 1538214119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D WEINGARTEN Ophthalmologist 248-650-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI MW054440) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI MW054440) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-02-17 |