NPI 1669470159

Alice Marie Bacak, OD

Practitioner Optometrist South Haven, MI

Practice location

Address: 1088 S Bailey Ave Suite B, South Haven, MI 49090-9728
Phone: (269) 637-1442
Fax: (269) 637-3801

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901003231 (MI)

Other Optometrist providers in Michigan →

Registry record

NPI: 1669470159
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2005
Record last updated: 12 Mar 2008

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.