Organization
316 OPTOMETRY LLC
Active
Other names
Maria L Shoop Davenport, 316 Optometry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LYN-SHOOP GARCIA OD (OWNER)
(269) 268-5140
Entity
Organization
Contact information
Practice address
800 E CHICAGO ST, COLDWATER, MI 49036-2055
(517) 278-2809
(517) 278-2199
Mailing address
172 CHURCH ST, COLDWATER, MI 49036-1756
(269) 268-5140
(517) 278-2199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
4901003648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944205383
—
MI
Enumeration date
05/29/2008
Last updated
11/22/2022
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