Organization
THORNAPPLE OPHTHALMOLOGY ASSOC PC
Active
Other names
Advanced Eyecare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYNN PRESTON (PRACTICE MANAGER)
(616) 897-7000
Entity
Organization
Contact information
Practice address
915 W GREEN ST, SUITE 101, HASTINGS, MI 49058-1724
(269) 945-3866
Mailing address
1005 W GREEN ST BLDG B, SUITE 101, HASTINGS, MI 49058-1723
(269) 945-3866
(269) 945-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004379
MI
152W00000X
Optometrist
4901004439
MI
207W00000X
Ophthalmology Physician
Primary
4301047122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102575680
—
MI
Enumeration date
10/06/2006
Last updated
04/02/2026
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