| NPI | 1881757474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M BECKER Doctor 248-628-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-03-17 |