NPI 1003099789

Goodwill Optical INC

Organisation Optometrist Wyoming, MI

Practice location

Address: 5487 S Division Ave, Wyoming, MI 49548-5720
Phone: (616) 773-6000
Fax: (616) 734-0921
Mailing address: 105 W Exchange St, Spring Lake, MI 49456-2024

Authorised official

Name: Timothy Westra
Title: President
Phone: (616) 846-0620

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Michigan →

Registry record

NPI: 1003099789
Entity type: Organization
NPI issued: 17 Dec 2007
Record last updated: 17 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.