Organization
GOODWILL OPTICAL INC
Active
Other names
Goodwill Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D WESTRA (PRESIDENT)
(616) 846-0620
Entity
Organization
Contact information
Practice address
3270 29TH STEET, SE, GRAND RAPIDS, MI 49512-1875
(616) 773-6003
(616) 773-6006
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
—
MI
Other
Enumeration date
02/13/2007
Last updated
04/20/2008
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