| NPI | 1891247813 |
|---|---|
| Former Legal Business Name | DAVICH VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | HAERI JANG Manager 616-956-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |