Cascade Ophthalmology PC

NPI #1013979756 in Grand Rapids, Michigan

Provider Information

NPI Number: 1013979756
Entity Type: Organization
Organization Name: Cascade Ophthalmology PC
Primary Specialty: Ophthalmology
Enumeration Date: Apr 6, 2006
Last Updated: Sep 30, 2015

Practice Location

Address: 791 KENMOOR AVE SE
Address 2: SUITE A
City: Grand Rapids
State: Michigan
ZIP Code: 49546-8625
Phone: (616) 575-8200

Authorized Official

Name: ELIZABETH H HENRY, MD
Title: OWNER
Phone: (616) 575-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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