Brian M Dolphin in Grand Rapids - Optometrist

Brian M Dolphin - NPI 1174594105

Brian M Dolphin is a Optometrist in Grand Rapids, Michigan. Brian M Dolphin practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brian M Dolphin is 1174594105. The last update date is 2010-07-28.

Brian M Dolphin's current location address is 750 E Beltline Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169492600 and fax number 6163652076. The mailing address for Brian M Dolphin is 750 E Beltline Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian M Dolphin
Address 750 E Beltline Ave Ne, Grand Rapids, Michigan
Phone Number 6169492600
Fax Number 6163652076
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1174594105
Provider Enumeration Date 2006-01-28
Last Updated Date 2010-07-28

Provider Mailing Address Detail

Address 750 E Beltline Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495256049
Phone Number 6169492600
Fax Number 6163652076

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 4901002301
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00831511 MI MEDICARE RR

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FAQs about Brian M Dolphin

What is the unique provider identifier assigned to Brian M Dolphin?

The Brian M Dolphin has been issued the NPI (National Provider Identifier) 1174594105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Brian M Dolphin is geographically located?

The Brian M Dolphin is physically situated at the following location: 750 E Beltline Ave Ne, Grand Rapids, MI, 495256049.

What is Brian M Dolphin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brian M Dolphin is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did Brian M Dolphin receive its 1174594105 assignment from the Centers for Medicare & Medicaid Services?

The Brian M Dolphin was assigned its 1174594105 on 2006-01-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Brian M Dolphin's information last updated?

The Brian M Dolphin's information was last updated on 2010-07-28.

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