| NPI | 1770781957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTOPHER PAYNE Owner 248-393-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901003125) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2009-03-12 |