Organization
DAVID SZCZEPANSKI PC
Active
Other names
Healthy Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T SZCZEPANSKI OD (OWNER, AND OD)
(616) 827-8981
Entity
Organization
Contact information
Practice address
2021 44TH ST SE STE B, GRAND RAPIDS, MI 49508-5349
(616) 827-8981
(616) 827-2702
Mailing address
2021 44TH ST SE STE B, GRAND RAPIDS, MI 49508-5349
(616) 827-8981
(616) 827-2702
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P43120
GROUP NUMBER
MI
01
—
6133350001
NATIONAL GOV'T SVC-PTAN
MI
01
—
P43120001
MEDICARE PROVIDER NUMBER
MI
Enumeration date
01/02/2007
Last updated
04/20/2009
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