| NPI | 1578097259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN KIEFIUK Optometrist 249-249-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003019) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |