NPI | 1972680577 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALLEN ROLAIN President 586-884-5160 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301058346) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901003679) |
152W00000X Optometrist (Licence: MI 4901004259) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-10-30 |