Organization
PREMIER FAMILY EYE CARE PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JOSEPH CRANK O.D (OWNER)
(616) 633-0574
Entity
Organization
Contact information
Practice address
6748 KALAMZOO AVE S.E, GRAND RAPIDS, MI 49508-7032
(616) 633-0574
Mailing address
6748 KALAMZOO AVE S.E, GRAND RAPIDS, MI 49508-7032
(616) 633-0574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192010
—
MI
Enumeration date
02/08/2016
Last updated
02/08/2016
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