| NPI | 1568528198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARVIN VANDERPLAS Ophthalmologist 269-979-6383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-07-15 |