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
5487 S DIVISION AVE, WYOMING, MI 49548-5720
(616) 773-6000
(616) 734-0921
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
12/17/2007
Last updated
12/17/2007
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