MICHIGAN OPTICAL LLC NPI 1447427919

NPI Information

MICHIGAN OPTICAL LLC is an eyewear supplier in Grand Rapids, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MICHIGAN OPTICAL LLC NPI is 1447427919. The provider is registered as an organization entity type.

The provider's business location address is:

511 WILSON AVE NW
SUITE E
GRAND RAPIDS, MI
ZIP 49534-986
Phone: (616) 301-8663
Fax: (616) 301-2987

The provider's authorized official is Douglas Cramer .
The authorized official title is Owner and has the following contact phone number (616) 301-8663.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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