NPI | 1942887039 |
---|---|
Doing Business As | HENRY FORD OPTIMEYES |
Entity Type | Organization |
Authorized Contact | SHAKIA TISDALE Credentialing & Privileging 248-577-3659 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2021-03-25 |