Goodwill Optical Inc

NPI 1003099789 - Optometrist - 152W00000X

NPI Details
NPI 1003099789
Enumeration Date 12/17/2007
Last Updated 12/17/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position PRESIDENT
Phone (616) 773-6000
Fax (616) 734-0921
Practice Location
5487 S DIVISION AVE
WYOMING MI, 49548-5720, US
Phone (616) 773-6000
Fax (616) 734-0921
Business Location
105 W EXCHANGE ST
SPRING LAKE MI, 49456-2024, US
Phone (616) 846-0620
Fax (616) 844-6079
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Goodwill Optical Inc NPI is 1003099789, taxonomy code is 152W00000X Goodwill Optical Inc physically located at 5487 S Division Ave, Wyoming MI, 49548-5720. NPI Number 1033115704 has the healthcare provider type.

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1003099789 NPI number is provided on an as is basis without warranty of any kind. 1003099789 is maintained by the National Plan & Provider Enumeration System. The contents of Goodwill Optical Inc are for informational purposes only.