Organization
VICKSBURG OPTOMETRY LLC
Active
Other names
316 Optometry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LYN-SHOOP GARCIA OD (OPTOMETRIST OWNER)
(269) 649-0103
Entity
Organization
Contact information
Practice address
800 E CHICAGO ST, COLDWATER, MI 49036-2055
(517) 278-2809
(517) 278-2199
Mailing address
1333 ELLERY GROVE CT, VICKSBURG, MI 49097-7778
(269) 268-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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