Individual
DR. ROBERT C HUIZENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O D
Contact information
Practice address
7673 GEORGETOWN CENTER DR, JENISON, MI 49428-8101
(616) 457-2020
(616) 457-4043
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002647
MI
152W00000X
Optometrist
5330000171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W0000X
TAXONOMY
MI
Enumeration date
06/20/2005
Last updated
11/22/2021
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