| NPI | 1801095781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S. CASSAR Owner 616-395-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004262) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-09-10 |