Organization
GOODWILL OPTICAL INC
Active
Other names
Goodwill Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
1655 4 MILE RD NE, GRAND RAPIDS, MI 49525-2438
(616) 447-0489
(616) 447-2283
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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