| NPI | 1811980386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHARP Office Manager 517-279-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2021-07-19 |