| Organization Name: | IMLAY CITY OPTICAL INC |
| NPI Number: | 1700912433 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARTHUR F WHALEY (PRESIDENT) |
| Mailing Address: | 125 W 3rd St Imlay City |
| State: | MI US |
| Postal Code: | 484441029 |
| Phone Number: | 8107246155 |
| Fax Number: | 8107247708 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |