NPI 1326383506
Shoreline Optical, LLC
Practice location
- Address
- 1401 W Main St Suite 101, Fremont, MI 49412-1486
- Phone
- (231) 739-9009
- Fax
- (231) 924-4604
- Mailing address
- 1266 E Sherman Blvd, Muskegon, MI 49444-1847
Authorised official
- Name
- Andrea Lynn Patrick
- Title
- Account Manager
- Phone
- (616) 588-6593
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1326383506
- Entity type
- Organization
- NPI issued
- 29 Nov 2012
- Record last updated
- 22 May 2024
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.