| NPI | 1891913414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARD HARRIS Owner 810-653-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI TH4901003573) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-02-09 |