Organization
FORD OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA T. FORD O.D. (PRESIDENT)
(269) 569-0683
Entity
Organization
Contact information
Practice address
501 N 9TH ST, KALAMAZOO, MI 49009-6594
(269) 544-2952
Mailing address
8361 CHARLEVOIX ST, KALAMAZOO, MI 49009-3988
(269) 569-0683
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004126
MI
Other
Enumeration date
04/06/2009
Last updated
09/10/2015
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