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Organization

STITES EYE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL L. STITES O.D. (OWNER)
(616) 863-2020
Entity
Organization

Contact information

Practice address
6840 NORTHWAY DR NE, SUITE A, ROCKFORD, MI 49341-7568
(616) 863-2020
(616) 863-2022
Mailing address
6840 NORTHWAY DR NE, SUITE A, ROCKFORD, MI 49341-7568
(616) 863-2020
(616) 863-2022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
696719
MI

Other

Enumeration date
03/09/2007
Last updated
06/08/2010
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