Organization
EYE & ENT SPECIALISTS
Active
Other names
Creekside Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY J NORRIS MD (OWNER)
(269) 945-3888
Entity
Organization
Contact information
Practice address
1761 W M 43 HWY, HASTINGS, MI 49058-8378
(269) 945-3888
(269) 945-2112
Mailing address
1761 W M 43 HWY, HASTINGS, MI 49058-8378
(269) 945-3888
(269) 945-2112
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864135064
—
MI
Enumeration date
05/25/2007
Last updated
03/17/2009
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