Organization
ADVANCED EYE CARE OF GRAND RAPIDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK HOLSER O.D. (MEMBER)
(616) 361-2020
Entity
Organization
Contact information
Practice address
5258 PLAINFIELD AVE NE, SUITE F, GRAND RAPIDS, MI 49525-1092
(616) 361-2020
Mailing address
5258 PLAINFIELD AVE NE, SUITE F, GRAND RAPIDS, MI 49525-1092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4010004245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4834870
—
MI
Enumeration date
02/27/2007
Last updated
10/30/2007
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