| NPI | 1639166895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN BENNETT President 248-643-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |