NPI 1184283285

Carrie Dewolfe, OD

Practitioner Optometrist Caledonia, MI

Practice location

Address: 9028 N Rodgers CT SE STE K, Caledonia, MI 49316-7786
Phone: (168) 916-9245
Fax: (616) 891-4321
Mailing address: 833 Michigan St NE STE 101, Grand Rapids, MI 49503-2578

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901005247 (MI)

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Registry record

NPI: 1184283285
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2019
Record last updated: 14 Jun 2023

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.