Ada Vision Center PLLC
Optometrist in Ada, MI. Organization (NPI-2).
NPI number1467479212
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1467479212
- Entity type
- Organization (NPI-2)
- Legal business name
- Ada Vision Center PLLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901002630 | MI | Yes |
Practice location
596 Ada Dr SeAda, MI 49301-8465
Phone 616-676-1283 · Fax 616-676-9133
Mailing address
596 Ada Dr SeAda, MI 49301-8465
Phone 616-676-1283 · Fax 616-676-9133
Authorized official
Thomas P. Reyburn
Owner Since 1977
6166761283
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Other Optometrist providers in Ada, MI
- Stacy L Davis, O.D.NPI 1891880548
- Heather Jones Od LLCNPI 1134974561
- Von Scott Hieneman, O.D.NPI 1760540363
- Heather Marie Jones, O.D.NPI 1295173771
- Thomas P Reyburn, O.D.NPI 1205973195
All 6 Optometrist providers in Ada · All 265 providers in Ada
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