NPI | 1639405111 |
---|---|
Other Name | PEARLE VISION |
Entity Type | Organization |
Authorized Contact | STEPHEN PHILLIP THOMPSON Owner 517-349-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4901003790) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2009-10-19 |