Goodwill Optical INC

NPI #1003053893 in Muskegon, Michigan

Provider Information

NPI Number: 1003053893
Entity Type: Organization
Organization Name: Goodwill Optical INC
Primary Specialty: Optometrist
Enumeration Date: Jan 15, 2009
Last Updated: Jan 15, 2009

Practice Location

Address: 1934 E SHERMAN BLVD
City: Muskegon
State: Michigan
ZIP Code: 49444-1824
Phone: (231) 739-2126

Authorized Official

Name: TIMOTHY WESTRA
Title: PRESIDENT
Phone: (616) 846-0620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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