NPI | 1598233652 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL FRESHNEY Professional Services Manager 586-464-1479 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2023-06-29 |