NPI | 1982828703 |
---|---|
Professional Name | MICHAEL J REDUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1731) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5314T) |
152W00000X Optometrist (Licence: GA OPT001566) | |
152W00000X Optometrist (Licence: AL R-192-TA-861) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2012-07-28 |