Organization
THOMAS P. DUNNING O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P. DUNNING O.D. (PRESIDENT)
(616) 272-4740
Entity
Organization
Contact information
Practice address
335 BRIDGE ST NW, #806, GRAND RAPIDS, MI 49504-8706
(616) 272-4740
(616) 272-4740
Mailing address
335 BRIDGE ST NW, #806, GRAND RAPIDS, MI 49504-8706
(616) 272-4740
(616) 272-4740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3513761
—
MI
01
—
900D167570
BCBS
MI
Enumeration date
02/22/2007
Last updated
03/01/2012
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