Jon R Wieringa is a Optometrist in Grand Rapids, Michigan. Jon R Wieringa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jon R Wieringa is 1518977230. The last update date is 2016-12-15.
Jon R Wieringa's current location address is 2112 East Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169498500 and fax number 6169492878. The mailing address for Jon R Wieringa is 2112 East Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon R Wieringa |
|---|---|
| Address | 2112 East Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169498500 |
| Fax Number | 6169492878 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1518977230 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2016-12-15 |
Provider Mailing Address Detail
| Address | 2112 East Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6169498500 |
| Fax Number | 6169492878 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 251 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518977230 | MI | -- | |
| 900H115190 | MI | BCBS MICHIGAN |
Post Comment/ Review Below
What is the unique identifier code issued to Jon R Wieringa by the Centers for Medicare & Medicaid Services (CMS)?
The Jon R Wieringa has been assigned the NPI (National Provider Identifier) 1518977230. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jon R Wieringa is located?
The Jon R Wieringa is situated at the following address: 2112 East Paris Ave Se, Grand Rapids, MI, 49546.
What is Jon R Wieringa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jon R Wieringa is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did Jon R Wieringa receive its 1518977230 assignment from the Centers for Medicare & Medicaid Services?
The Jon R Wieringa was assigned its 1518977230 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jon R Wieringa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon R Wieringa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-15.