Organization
LAKESHORE EYECARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A JACQUEMIN OD (OWNER)
(616) 395-0606
Entity
Organization
Contact information
Practice address
2657 120TH AVE, HOLLAND, MI 49424-8692
(616) 395-0606
(616) 395-0077
Mailing address
PO BOX 3272, SAGINAW, MI 48605-3272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
12/06/2022
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