PROFESSIONAL EYECARE OF WEST MICHIGAN LLC

GRAND RAPIDS, MI
NPI1467786822
Entity TypeOrganization
Authorized ContactTROY LEBARON
Member
616-334-9255
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901004426)
Enumeration Date2009-10-01
Last Update Date2010-06-08
Business Address
PROFESSIONAL EYECARE OF WEST MICHIGAN LLC
6750 KALAMAZOO AVE SE SUITE C
GRAND RAPIDS, MI 49508-7897
Phone number: 616-656-0505
Mailing Address
PROFESSIONAL EYECARE OF WEST MICHIGAN LLC
6750 KALAMAZOO AVE SE SUITE C
GRAND RAPIDS, MI 49508-7897
Phone number: 616-656-0505