Organization
KENT VISION CENTERS INC
Active
Other names
Smeelink Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
941 BRIDGE ST NW, GRAND RAPIDS, MI 49504-5555
(616) 774-2904
(616) 774-4053
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
(616) 844-6079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(94) 4634162
—
MI
05
—
(94) 4634171
—
MI
01
—
900F111210
BCBS OF MI
MI
Enumeration date
10/26/2006
Last updated
02/23/2009
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