| NPI | 1972792455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P. LUTZ Owner /Optometrist 734-769-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002919) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2015-10-01 |