| NPI | 1548628415 |
|---|---|
| Doing Business As | AVD |
| Entity Type | Organization |
| Authorized Contact | ANGELA L SANDERS Sole Owner/Member 616-485-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901004369) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |