Organization
SOUTHWEST MICHIGAN EYE CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY MARVIN VANDERPLAS MD (OPHTHALMOLOGIST)
(269) 979-6383
Entity
Organization
Contact information
Practice address
3600 CAPITAL AVE SW, STE 203, BATTLE CREEK, MI 49015-9393
(269) 979-6383
(269) 979-6381
Mailing address
3600 CAPITAL AVE SW, STE 203, BATTLE CREEK, MI 49015-9393
(269) 979-6383
(269) 979-6381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
WW4820767
MI
207W00000X
Ophthalmology Physician
LV045322
MI
207W00000X
Ophthalmology Physician
Primary
PC052043
MI
207W00000X
Ophthalmology Physician
RS048655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180A310000
BCBS OPHTHALMOLOGIST
MI
01
—
368913400
US DEPT OF LABOR
MI
01
—
900A311250
BCBS OPTOMETRIST
MI
01
—
M12043
EYE CARE PLAN OF AMERICA
MI
05
—
OP130009
—
MI
Enumeration date
12/27/2006
Last updated
04/15/2015
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