Organization
WYOMING FAMILY VISION CARE LLC
Active
Other names
Wyoming Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA CRISPINA REYES (OPTICIAN)
(616) 538-5420
Entity
Organization
Contact information
Practice address
1391 36TH ST SW, WYOMING, MI 49509-3417
(616) 538-5420
(616) 538-7288
Mailing address
1391 36TH ST SW, WYOMING, MI 49509-3417
(616) 538-5420
(616) 538-7288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004597
MI
152W00000X
Optometrist
Primary
4901004759
MI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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