NPI | 1558786699 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LUANNE HILL President 734-709-5459 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4612) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 4612) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-02-26 |