NPI | 1780218883 |
---|---|
Doing Business As | ADVANCED EYE CARE CENTER |
Entity Type | Organization |
Authorized Contact | SHAKIA TISDALE Credentialing/Privileging 248-577-3659 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-02-27 |