| NPI | 1609047422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A JACK Owner/Optometrist 734-981-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-08-21 |