Organization
ALPINE VISION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BLACK OD (OPTOMETRIST)
(616) 894-6060
Entity
Organization
Contact information
Practice address
3901 ALPINE AVE NW, COMSTOCK PARK, MI 49321-8350
(616) 894-6060
Mailing address
3145 JUNIPER CT NE APT C2, GRAND RAPIDS, MI 49525-1942
(616) 894-6060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/08/2020
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