Organization
HARBOR VIEW EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD EARL WITT (VICE PRESIDENT/TREASURER)
(616) 842-0008
Entity
Organization
Contact information
Practice address
4 WASHINGTON AVE, GRAND HAVEN, MI 49417
(616) 842-0008
(616) 842-0054
Mailing address
4 WASHINGTON AVE, GRAND HAVEN, MI 49417
(616) 842-0008
(616) 842-0054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OGO65340
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/29/2008
Last updated
03/04/2009
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