| NPI | 1649275041 |
|---|---|
| Doing Business As | SPECIALTY EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | THOMAS T ROARK CEO 517-841-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology (Licence: MI 4301034151) | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-11-26 |