Individual
DR. JENNIFER SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3935 LAKE MICHIGAN DR NW STE 3, GRAND RAPIDS, MI 49534-7844
(872) 806-1663
Mailing address
135 ALEWA DR NW, STE A, GRAND RAPIDS, MI 49504-5801
(616) 916-4431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004645
MI
Other
Enumeration date
07/07/2011
Last updated
07/23/2019
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