| NPI | 1639467962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VIJAY LILLIE President 616-895-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004659) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2013-05-02 |