Organization
GOODWILL OPTICAL INC
Active
Other names
Goodwill Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
282 12TH ST, MANISTEE, MI 49660
(231) 398-9660
(231) 398-9671
Mailing address
105 W EXCHANGE, SPRING LAKE, MI 49456
(616) 846-0620
(616) 844-6079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
04/20/2008
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