Organization
GOODWILL OPTICAL INC
Active
Other names
GOODWILL OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
4781 W US HIGHWAY 10, LUDINGTON, MI 49431-9681
(231) 843-3482
(231) 843-3693
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
Enumeration date
01/13/2009
Last updated
01/13/2009
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