| |
423 W Main St, Ionia, MI 48846-1553 | |
(616) 522-1000 | |
(616) 527-3641 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 423 W Main St, Ionia, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013100155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004379 (Michigan) | Secondary |
152W00000X | Optometrist | 4901004439 (Michigan) | Secondary |
207W00000X | Ophthalmology | MF047122 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
423 W Main St, Ionia, MI 48846-1553 Ph: (616) 522-1000 | 423 W Main St, Ionia, MI 48846-1553 Ph: (616) 522-1000 |