NPI | 1922428887 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL ELIAS VP 248-577-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2018-01-22 |