NPI | 1720004153 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMONA H. JONES Owner 517-332-2233 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003668) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901003667) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2008-06-30 |