| NPI | 1821481078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELIAS VP 248-588-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-01-23 |