NPI | 1992793749 |
---|---|
Doing Business As | DELTAVISION OPTICAL |
Entity Type | Organization |
Authorized Contact | GREGORY DARRYL POPOWITZ Owner 517-886-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003607) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2008-05-14 |