Organization
SHORELINE ASC, LLC
Active
Other names
Shoreline Vision Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA (AUTHORIZED OFFICIAL)
(314) 369-3536
Entity
Organization
Contact information
Practice address
1298 E SHERMAN BLVD, MUSKEGON, MI 49444-1831
(231) 737-4710
(231) 737-4711
Mailing address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 737-4710
(231) 737-4711
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
61-6816
MI
Other
Enumeration date
05/19/2006
Last updated
05/14/2026
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