Organization
LANSING OPHTHALMOLOGY
Active
Organization
LANSING OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHOOK (EXECUTIVE DIRECTOR)
(517) 337-1899
Entity
Organization
Contact information
Practice address
4499 TOWN CENTER PKWY, FLINT, MI 48532-3425
(517) 337-1668
(517) 337-1779
Mailing address
1005 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-8186
(517) 337-1668
(517) 622-1205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
08/07/2024
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