Organization
CUTLERVILLE EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUIE BEYER (BILLER)
(616) 455-2525
Entity
Organization
Contact information
Practice address
6680 S DIVISION AVE, GRAND RAPIDS, MI 49548-7834
(616) 455-2525
(616) 455-9135
Mailing address
6680 S DIVISION AVE, GRAND RAPIDS, MI 49548-7834
(616) 455-2525
(616) 455-9135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2587297
—
MI
01
—
900D178450
BCBS
MI
Enumeration date
11/21/2005
Last updated
03/29/2010
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