| NPI | 1780820845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DIPONIO-TULCHINSKY President 734-660-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004390) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2009-10-14 |