Organization
JONAS PAUL EYEWEAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN HARRISON (CEO)
(616) 920-1582
Entity
Organization
Contact information
Practice address
38 FULTON ST W STE 210, GRAND RAPIDS, MI 49503-2644
(616) 920-1582
Mailing address
38 FULTON ST W STE 210, GRAND RAPIDS, MI 49503-2644
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
H625085465706
MI
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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