Organization
HCL OF WEST MICHIGAN LLC
Active
Other names
Eye Care One
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER M BURGESS-PETERSON OD (INSURANCE MANAGER)
(231) 719-9200
Entity
Organization
Contact information
Practice address
1871 HOLTON RD, MUSKEGON, MI 49445-1594
(231) 719-9200
(231) 719-6782
Mailing address
1871 HOLTON RD, MUSKEGON, MI 49445-1594
(231) 719-9200
(231) 744-6782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F111560
BCBS OF MICHIGAN
MI
Enumeration date
08/28/2006
Last updated
04/04/2013
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