| NPI | 1679240402 |
|---|---|
| Doing Business As | UPTOWN EYE BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | BRIAN SCHULTZ Optometrist/Owner 248-320-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2021-11-28 |