NPI 1174974356

Oculoplastic Associates of West Michigan, Plc

Organisation Ophthalmic Plastic and Reconstructive Surgery Physician Grand Rapids, MI

Practice location

Address: 4070 Lake Dr SE Suite 205, Grand Rapids, MI 49546-8294
Phone: (616) 888-2948
Fax: (616) 888-2949

Authorised official

Name: Tiffany L Kent
Title: Owner, Physician
Phone: (616) 888-2948

Registered specialties

Ophthalmic Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence 4301092933 (MI)

Other Ophthalmology providers in Michigan →

Registry record

NPI: 1174974356
Entity type: Organization
NPI issued: 28 Jun 2016
Record last updated: 5 Oct 2016

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.