Organization
SPARTA OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RYAN HARKEMA O.D. (OPTOMETRIST)
(616) 887-8811
Entity
Organization
Contact information
Practice address
38 N UNION ST, SPARTA, MI 49345-1138
(616) 887-8811
(616) 887-8789
Mailing address
38 N UNION ST, SPARTA, MI 49345-1138
(616) 887-8811
(616) 887-8789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410047869
RAILROAD MEDICARE
MI
01
—
5565450001
MEDICARE NSC
MI
Enumeration date
11/19/2007
Last updated
05/31/2023
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