| NPI | 1649569450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA OCONNOR CEO 989-341-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 156FX1700X Technician/Technologist Ocularist |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2024-03-05 |