Individual
DR. JEFFREY ALAN VONSEGGERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 S LAFAYETTE ST, GREENVILLE, MI 48838-1933
(616) 754-6300
(616) 754-5009
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004210A
IN
152W00000X
Optometrist
Primary
4901003781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201249427
TAX ID
MI
01
—
202916337
TAX ID
MI
01
—
230541
NVA
MI
05
—
4634180
—
MI
01
—
900F111210
BCBS OF MICHIGAN
MI
01
—
900G011510
BCBS OF MICHIGAN
MI
01
—
P55978
BCN
MI
Enumeration date
10/27/2005
Last updated
02/10/2022
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