| NPI | 1689202848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON R WINTERS President 616-432-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |