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Contact Information

GOODWILL OPTICAL INC
282 12TH ST
MANISTEE, MI49660
 Phone: 231-398-9660
 Fax: 231-398-9671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GOODWILL OPTICAL INC

NPI Number 1811109051
LBN Legal business name GOODWILL OPTICAL INC
Authorized official TIMOTHY WESTRA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 04/20/2008 - About 18 years ago
Identifiers n/a
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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