Lasikplus Of Michigan, P.C.
Clinic/Center, Ophthalmologic Surgery in Grand Rapids, MI. Organization (NPI-2).
NPI number1164568580
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164568580
- Entity type
- Organization (NPI-2)
- Legal business name
- Lasikplus Of Michigan, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0132X | Clinic/Center, Ophthalmologic Surgery | – | – | Yes |
Practice location
2500 East Betline, SeSuite C
Grand Rapids, MI 49546
Phone 616-285-3722
Mailing address
7840 Montgomery RdCincinnati, OH 45236-4301
Authorized official
Scott Kirk
V.P. Managed Care
8006884550
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