Organization
DAVID J. SCHOLTEN, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. SCHOLTEN O.D. (PRESIDENT)
(616) 243-0007
Entity
Organization
Contact information
Practice address
2350 32ND ST SE, KENTWOOD, MI 49508-7901
(616) 243-0007
(616) 243-0540
Mailing address
2350 32ND ST SE, KENTWOOD, MI 49508-7901
(616) 243-0007
(616) 243-0540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002566
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4350446
—
MI
01
—
900D16575
BLUE CROSS/BLUE SHIELD OF MI
MI
Enumeration date
03/04/2008
Last updated
07/22/2008
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