| NPI | 1699742999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS IRA CHAIKEN President 248-553-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2020-08-22 |