Organization
GOODWILL OPTICAL INC
Active
Other names
GOODWILL OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
1934 E SHERMAN BLVD, MUSKEGON, MI 49444-1824
(231) 739-2126
(231) 739-2167
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
(616) 844-6079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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