| NPI | 1730332479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOBETH CARILO Billing 313-565-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901001955) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |