Organization
HIEMSTRA OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD TOTZKE (VICE PRESIDENT)
(269) 657-7288
Entity
Organization
Contact information
Practice address
133 E MICHIGAN AVE, PAW PAW, MI 49079-1429
(269) 657-7288
(269) 655-9063
Mailing address
133 E MICHIGAN AVE, PAW PAW, MI 49079-1429
(269) 657-7288
(269) 655-9063
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/07/2008
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