Organization
GOODWILL OPTICAL INC
Active
Other names
Goodwill Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
2279 S AIRPORT RD W, TRAVERSE CITY, MI 49684-4713
(231) 932-1520
(231) 932-1552
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
(616) 844-6079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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