| NPI | 1851594246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERROL RAYMOND CONGLETON O PT Ometrist 989-835-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002565) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-10-22 |