Organization
ANDERSEN EYE PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA O'CONNOR (CEO)
(989) 341-7170
Entity
Organization
Contact information
Practice address
2757 LEONARD ST NE, STE 300, GRAND RAPIDS, MI 49525-5807
(989) 797-2400
(989) 249-1035
Mailing address
5161 CARDINAL PARK DR, SAGINAW, MI 48604-9435
(989) 797-2400
(989) 249-1035
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
5001000027
MI
Other
Enumeration date
03/16/2012
Last updated
03/05/2024
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