| NPI | 1871780338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PHILIP ABDELLA President 810-732-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901002484) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |