| NPI | 1396820494 |
|---|---|
| Doing Business As | CO OP OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D WESTRA Vice President 616-846-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-04-20 |