| NPI | 1972808921 |
|---|---|
| Former Legal Business Name | SHORELINE OPHTHALMOLOGY PC |
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN PATRICK Account Manager 616-588-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-05-22 |