Organization
PEDIATRIC OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH M DROSTE RN BSN (ADMINISTRATOR)
(616) 957-0866
Entity
Organization
Contact information
Practice address
5050 CASCADE RD SE, GRAND RAPIDS, MI 49546-3707
(616) 957-0866
(616) 957-4102
Mailing address
5050 CASCADE RD SE, GRAND RAPIDS, MI 49546-3707
(616) 957-0866
(616) 957-4102
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
003979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2636622
—
MI
Enumeration date
02/23/2009
Last updated
09/11/2025
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