| NPI | 1639418932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE GAY BURGESS Optometrist/Owner 616-534-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901003563) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-07-15 |