| NPI | 1609223619 |
|---|---|
| Doing Business As | FENTON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUAN ALVARADO President 810-252-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-20 |