Cascade Ophthalmology PC
Eyewear Supplier (Equipment, not the service) in Grand Rapids, MI. Organization (NPI-2).
NPI number1508927286
StatusActive
Last updated in NPPESSep 30, 2015
Details
- NPI
- 1508927286
- Entity type
- Organization (NPI-2)
- Legal business name
- Cascade Ophthalmology PC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Sep 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 4301070226 | MI | Yes |
Practice location
791 Kenmoor Ave SeSuite A
Grand Rapids, MI 49546-8625
Phone 616-575-8200 · Fax 616-954-9622
Mailing address
791 Kenmoor Ave SeSuite A
Grand Rapids, MI 49546-8625
Phone 616-575-8200 · Fax 616-954-9622
Authorized official
Elizabeth H Henry
Owner
6165758200
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