Organization
SHORELINE OPTICAL, LLC
Active
Other names
Shoreline Ophthalmology PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LYNN PATRICK (ACCOUNT MANAGER)
(616) 588-6593
Entity
Organization
Contact information
Practice address
625 E SAVIDGE ST, SPRING LAKE, MI 49456-1956
(231) 739-9009
Mailing address
1266 E SHERMAN BLVD, MUSKEGON, MI 49444-1847
(616) 846-2280
(616) 844-5696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
05/22/2024
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