Organization
NORTHSHORE OPTOMETRY LLC
Active
Other names
Korinne Swain, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORINNE MARIE SWAIN O.D. (OWNER)
(231) 744-3573
Entity
Organization
Contact information
Practice address
1179 WHITEHALL RD, SUITE B, N MUSKEGON, MI 49445-2497
(231) 744-3573
(231) 719-9016
Mailing address
1179 WHITEHALL RD, SUITE B, N MUSKEGON, MI 49445-2497
(231) 744-3573
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
49010003090
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4901003090
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806648
—
MI
Enumeration date
01/22/2008
Last updated
03/12/2014
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