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Contact Information

JON R WIERINGA, OD
2112 EAST PARIS AVE SE
GRAND RAPIDS, MI49546
 Phone: 616-949-8500
 Fax: 616-949-2878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JON R WIERINGA · (Male)

NPI # 1518977230
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/08/2006
Last updated 12/15/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 251
  • MI Medicaid 1518977230
  • MI Other 900H115190 BCBS MICHIGAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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