Organization
CASCADE OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH H HENRY MD (OWNER)
(616) 575-8200
Entity
Organization
Contact information
Practice address
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546-8625
(616) 575-8200
(616) 954-9622
Mailing address
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546-8625
(616) 575-8200
(616) 954-9622
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4301070226
MI
Other
Enumeration date
12/13/2006
Last updated
09/30/2015
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