Organization
GR DAVICH INC
Active
Other names
Davich Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
HAERI JANG (MANAGER)
(616) 956-6096
Entity
Organization
Contact information
Practice address
2825 28TH ST SE, SUITE B, GRAND RAPIDS, MI 49512-1607
(616) 956-6096
(606) 956-6074
Mailing address
2825 28TH ST SE, SUITE B, GRAND RAPIDS, MI 49512-1607
(616) 956-6096
(606) 956-6074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
152WV0400X
Vision Therapy Optometrist
—
MI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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