| 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 |