Organization
DOWNTOWN OPTICAL SHOPPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART JAMES SOLOMON (PRESIDENT)
(616) 396-1205
Entity
Organization
Contact information
Practice address
204 S RIVER AVE, HOLLAND, MI 49423-3143
(616) 396-1205
(616) 396-9442
Mailing address
204 S RIVER AVE, HOLLAND, MI 49423-3143
(616) 396-1205
(616) 396-9442
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900G07607
BLUECROSSBLUESHIELD OF MI
MI
Enumeration date
02/02/2007
Last updated
07/21/2022
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