| NPI | 1629328380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORIANO ARMAND DEWBERRY Owner 734-644-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2016-05-26 |