Leon James Bangma in Kentwood - Optometrist
Leon James Bangma - NPI 1164484705
Leon James Bangma is a Optometrist in Kentwood, Michigan. Leon James Bangma practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Leon James Bangma is 1164484705. The last update date is 2007-10-29.
Leon James Bangma's current location address is 2897 Radcliff Ave Se, Kentwood, Michigan. You can contact this provider via phone number 6169422710 and fax number 6169428680. The mailing address for Leon James Bangma is 2897 Radcliff Ave Se, Kentwood, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon James Bangma |
|---|---|
| Address | 2897 Radcliff Ave Se, Kentwood, Michigan |
| Phone Number | 6169422710 |
| Fax Number | 6169428680 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1164484705 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 2897 Radcliff Ave Se |
|---|---|
| City | Kentwood |
| State | Michigan (MI) |
| Post Code | 495121793 |
| Phone Number | 6169422710 |
| Fax Number | 6169428680 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002511 |
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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 |
|---|---|---|---|
| 5175734 | MI | -- | |
| 4450521 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leon James Bangma by the Centers for Medicare & Medicaid Services?
The Leon James Bangma has been issued the NPI (National Provider Identifier) 1164484705 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Leon James Bangma's facilities are geographically located?
The facilities of Leon James Bangma are physically situated at the following location: 2897 Radcliff Ave Se, Kentwood, MI, 495121793.
What is the area of specialization for Leon James Bangma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leon James Bangma is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When was the Leon James Bangma's 1164484705 issued?
The Leon James Bangma's 1164484705 was issued on 2006-04-06.
As of what date were the details pertaining to Leon James Bangma last refreshed?
The information related to the Leon James Bangma, including its address, specialty, and other relevant details, was last updated on 2007-10-29.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY