NPI 1003997651

Jeffrey B. Byland, O.D., P.C.

Organisation Eyewear Supplier Fremont, MI

Practice location

Address: 103 S Division Ave, Fremont, MI 49412-1602
Phone: (231) 924-4110
Fax: (231) 924-5007

Authorised official

Name: Lara a Eenigenburg
Title: President
Phone: (231) 924-4110

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 4901002849 (MI)

Other Eyewear Supplier providers in Michigan →

Registry record

NPI: 1003997651
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 6 Dec 2020

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.