Organization
VAN OPTICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GORDON VANOTTEREN O.D. (PRESIDENT)
(734) 649-4978
Entity
Organization
Contact information
Practice address
1601 E US HIGHWAY 223, ADRIAN, MI 49221-4454
(517) 265-9883
(517) 265-9796
Mailing address
8850 SALINE MILAN RD, SALINE, MI 48176-8826
(734) 944-4404
(734) 944-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003594
MI
Other
Enumeration date
10/05/2006
Last updated
02/23/2018
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