| NPI | 1992133169 |
|---|---|
| Doing Business As | MIDWESTERN VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | WALTER J CUKROWSKI Owner/Physician 248-352-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003927) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901003927) |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-10-19 |