| NPI | 1720462815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G FARRELL Owner/CEO 586-468-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-06-29 |