| NPI | 1710128111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MULDER DEJONGE Optometrist: Its Manager 616-395-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004253) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2016-11-11 |