| NPI | 1811421928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA WILLIAMSON Optometrist/Owner 248-655-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004809) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004809) |
| 152WP0200X Optometrist, Pediatrics (Licence: MI 4901004809) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-10-11 |