Organization
EYES TO SEE PEDIATRIC OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JANE VREDEVOOGD M.D. (MEMBER)
(616) 953-0387
Entity
Organization
Contact information
Practice address
200 TAFT ST, SUITE 100, ZEELAND, MI 49464-1692
(616) 953-0387
Mailing address
200 TAFT ST, SUITE 100, ZEELAND, MI 49464-1692
(616) 953-0387
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301071619
MI
Other
Enumeration date
01/15/2010
Last updated
09/02/2011
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