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Organization

SHORELINE OPTICAL, LLC

Active
Other names
Shoreline Optical
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA LYNN PATRICK (ACCOUNT MANAGER)
(616) 588-6593
Entity
Organization

Contact information

Practice address
301 CENTER ST, NORTH MUSKEGON, MI 49445-3104
(231) 739-9009
(231) 744-2869
Mailing address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(231) 739-9009
(231) 733-0566

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
12/27/2007
Last updated
05/22/2024
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