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Organization

WEST MICHIGAN EYECARE ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN G FORD OD (PARTNER)
(616) 949-8500
Entity
Organization

Contact information

Practice address
2112 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 949-8500
(616) 949-2878
Mailing address
2112 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 949-8500
(616) 949-2878

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900D11106
BCBSM
MI
Enumeration date
06/01/2006
Last updated
12/16/2016
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