Organization
TRAVEL EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY CRANK OD (PRESIDENT)
(616) 891-9282
Entity
Organization
Contact information
Practice address
7978 GOLF MEADOWS DR SE, CALEDONIA, MI 49316-8069
(616) 891-9282
Mailing address
7978 GOLF MEADOWS DR SE, CALEDONIA, MI 49316-8069
(616) 891-9282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4417090
—
MI
Enumeration date
02/09/2007
Last updated
09/12/2007
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