| NPI | 1902247208 |
|---|---|
| Doing Business As | MACOMB VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA K BRADEN Optometrist 734-693-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004563) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |