Organization
SHORELINE OPTICAL, LLC
Active
Parent organization
SHORELINE OPHTHALMOLOGY PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORELINE OPHTHALMOLOGY PLLC
Authorized official
ANDREA LYNN PATRICK (ACCOUNT MANAGER)
(616) 588-6593
Entity
Organization
Contact information
Practice address
1445 SHELDON RD, SUITE 100, GRAND HAVEN, MI 49417-2480
(231) 739-9009
(616) 842-8269
Mailing address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 739-9009
(231) 733-0566
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
05/22/2024
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