| NPI | 1275618068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HUGH BENNINGER Ophthalmologist 616-459-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301030073) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901003291) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-11-19 |