| NPI | 1982845384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE L KACZMARCZYK Optometrist 989-799-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004198) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |