Organization
GRAND RIVER EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM MUIR JR. O.D. (OWNER)
(517) 545-2020
Entity
Organization
Contact information
Practice address
810 E GRAND RIVER AVE, HOWELL, MI 48843-2432
(517) 545-2020
(517) 545-2002
Mailing address
810 E GRAND RIVER AVE, HOWELL, MI 48843-2432
(517) 545-2020
(517) 545-2002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90OD700040
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/31/2007
Last updated
09/07/2011
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