NPI | 1902983778 |
---|---|
Doing Business As | GOLDEN GATE OPTICAL |
Entity Type | Organization |
Authorized Contact | DINA J. SITTO Manager 248-689-0213 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002898) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901002152) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-08-09 |