Organization
VAN OPTICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GORDON VANOTTEREN O.D., M.S. (PRESIDENT OPTOMETRIST)
(734) 944-4404
Entity
Organization
Contact information
Practice address
7000 E MICHIGAN AVE, SALINE, MI 48176-9514
(734) 944-3782
(734) 944-3793
Mailing address
8850 SALINE MILAN RD, SALINE, MI 48176-8826
(734) 944-4404
(734) 944-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003594
MI
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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