Organization
SIGHT EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEUSCHNER MD (AUTHORIZED OFFICIAL)
(616) 396-5235
Entity
Organization
Contact information
Practice address
2025 VAN HILL DR, ZEELAND, MI 49464-6904
(616) 396-5235
(616) 396-5380
Mailing address
2025 VAN HILL DR, ZEELAND, MI 49464-6904
(616) 396-5235
(616) 396-5380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G01021
BCBSM
MI
05
—
103469725
—
MI
05
—
104133598
—
MI
05
—
104736618
—
MI
01
—
BH078193
BCBSM
MI
01
—
DD025983
BCBSM
MI
01
—
EL075059
BCBSM
MI
Enumeration date
07/08/2006
Last updated
04/30/2014
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