NPI 1033648894

Felicia Slate, OD

Practitioner Optometrist Grand Rapids, MI

Practice location

Address: 2700 5 Mile Rd NE STE 102, Grand Rapids, MI 49525-6516
Phone: (616) 361-6612
Fax: (616) 361-6690

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901005048 (MI)

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Registry record

NPI: 1033648894
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2017
Record last updated: 13 Mar 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.