| NPI | 1689672396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PHILLIPS Managing Partner 734-285-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003890) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-03-26 |