| NPI | 1679864110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE KAY MOAYER Owner/Share Holder 616-667-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 49010004443) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |