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Contact Information

WEST MICHIGAN CONTACT LENS SPECIALISTS PLLC
4130 BRETON RD SE STE A
KENTWOOD, MI49512-3808
 Phone: 616-341-1713
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for WEST MICHIGAN CONTACT LENS SPECIALISTS PLLC

NPI # 1346963758
LBN Legal business name WEST MICHIGAN CONTACT LENS SPECIALISTS PLLC
Authorized official ADELINE BAUER - (OWNER OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2022
Last updated 11/23/2022 - About 4 years ago
Identifiers
MI Other 4901004841 OPTOMETRY LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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