| NPI | 1861786758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOLICKI Owner 517-279-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2012-03-23 |