| NPI | 1649313305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D DOBIS Executive Director 517-337-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-06-29 |