Individual
EMILY ELIZABETH VLIETSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2745 10 MILE RD NE, ROCKFORD, MI 49341-9146
(616) 951-7115
(616) 951-7112
Mailing address
2745 10 MILE RD NE, ROCKFORD, MI 49341-9146
(616) 951-7115
(616) 951-7112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005476
MI
Other
Enumeration date
06/22/2020
Last updated
05/18/2026
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