| NPI | 1689840043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELIAS Director Of Finance 248-577-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-01-22 |