NPI | 1972638252 |
---|---|
Other Name | SVS VISION 53 |
Entity Type | Organization |
Authorized Contact | ROBERT G FARRELL Owner/CEO 586-468-7370 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2021-06-29 |