Goodwill Optical Llc in Spring Lake - Optometrist
Goodwill Optical Llc - NPI 1639257553
Goodwill Optical Llc is a Optometrist in Spring Lake, Michigan. Goodwill Optical Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Goodwill Optical Llc is 1639257553. The last update date is 2008-04-20.
Goodwill Optical Llc's current location address is 105 W Exchange St, Spring Lake, Michigan. You can contact this provider via phone number 6168460620 and fax number 6168446079. The mailing address for Goodwill Optical Llc is 105 W Exchange St, Spring Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodwill Optical Llc |
|---|---|
| Address | 105 W Exchange St, Spring Lake, Michigan |
| Phone Number | 6168460620 |
| Fax Number | 6168446079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Westra D Timothy |
| Telephone Number | 6168460620 |
NPI Number Detail
| NPI Number | 1639257553 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 105 W Exchange St |
|---|---|
| City | Spring Lake |
| State | Michigan (MI) |
| Post Code | 494562024 |
| Phone Number | 6168460620 |
| Fax Number | 6168446079 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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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What is the unique identification code assigned to Goodwill Optical Llc by the Centers for Medicare & Medicaid Services?
The Goodwill Optical Llc has been issued the NPI (National Provider Identifier) 1639257553. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Goodwill Optical Llc?
The Goodwill Optical Llc is physically situated at 105 W Exchange St, in the city of Spring Lake, state of MI, with the postal code 494562024.
What is Goodwill Optical Llc's area of expertise and its corresponding taxonomy classification?
The Goodwill Optical Llc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Goodwill Optical Llc receive the assignment of its 1639257553 from the Centers for Medicare & Medicaid Services?
The Goodwill Optical Llc was issued its 1639257553 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Goodwill Optical Llc most recently updated or revised?
The information pertaining to Goodwill Optical Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC