Advanced Eye Care Of Grand Rapids, Plc

LBN: Advanced Eye Care Of Grand Rapids, Plc
Advanced Eye Care Of Grand Rapids, Plc is an health care organization with primary practice located at 5258 Plainfield Ave Ne Suite F, Grand Rapids MI 49525-1092. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Advanced Eye Care Of Grand Rapids, Plc can be contacted via phone (616) 361-2020, or through Holser, Patrick via phone (616) 361-2020.

Contact Information

Primary practice address
5258 Plainfield Ave Ne Suite F Grand Rapids MI 49525-1092
Phone: (616) 361-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holser, Patrick Doctor of Optometry (OD)
Phone: (616) 361-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4010004245 Michigan

Profile Details

NPI number 1629105788
LBN Legal business name Advanced Eye Care Of Grand Rapids, Plc
DBA Doing business as
Authorized official Holser, Patrick Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Oct 30th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629105788 NPPES
Michigan MEDICAID 4834870

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