Grand Rapids Eye Care Llp

NPI 1053534040 - Optometrist - 152W00000X

NPI Details
NPI 1053534040
Enumeration Date 04/10/2007
Last Updated 06/06/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK COLIN MARK
Position OWNER
Phone (616) 363-5413
Fax (616) 363-4211
Practice Location
2820 E BELTLINE LN NE
GRAND RAPIDS MI, 49525-9432, US
Phone (616) 363-5413
Fax (616) 363-4211
Business Location
2820 E BELTLINE LN NE
GRAND RAPIDS MI, 49525-9432, US
Phone (616) 363-5413
Fax (616) 363-4211
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Grand Rapids Eye Care Llp NPI is 1053534040, taxonomy code is 152W00000X Grand Rapids Eye Care Llp physically located at 2820 E Beltline Ln Ne, Grand Rapids MI, 49525-9432. NPI Number 1033115704 has the healthcare provider type.

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1053534040 NPI number is provided on an as is basis without warranty of any kind. 1053534040 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Rapids Eye Care Llp are for informational purposes only.