Organization
HOLLAND EYE CLINIC, PC
Active
Organization
HOLLAND EYE CLINIC, PC
Active
Other names
Holland Eye Surgery And Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BARNES (ADMINISTRATOR)
(616) 396-2316
Entity
Organization
Contact information
Practice address
999 WASHINGTON AVE, HOLLAND, MI 49423-7722
(616) 396-2316
(616) 396-0085
Mailing address
999 WASHINGTON AVE, HOLLAND, MI 49423-7722
(616) 396-2316
(616) 396-0085
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G070006492
BLUE CROSS BLUE SHIELD
MI
01
—
490000729
RAILROAD MEDICARE
MI
Enumeration date
08/31/2006
Last updated
05/01/2012
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