| NPI | 1740278357 |
|---|---|
| Doing Business As | PEARLE VISION NORTHLAND |
| Entity Type | Organization |
| Authorized Contact | KENNETH B FOON President 248-549-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002904) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 152W00000X Optometrist (Licence: MI 4901002916) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2011-03-04 |