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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