| NPI | 1790706604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S RIEMER CEO 231-861-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-06-14 |