Organization
NORTHSHORE OPTOMETRY LLC
Active
Organization
NORTHSHORE OPTOMETRY LLC
Active
Other names
Korinne Swain, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE BURKHARDT BULLION (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 STE B, N MUSKEGON, MI 49445-2497
(231) 744-3573
(231) 719-9016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
49010003090
MI
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
08/26/2026
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