Goodwill Optical INC

NPI #1285856419 in Ionia, Michigan

Provider Information

NPI Number: 1285856419
Entity Type: Organization
Organization Name: Goodwill Optical INC
Primary Specialty: Optometrist
Enumeration Date: May 3, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 153 W SPRAGUE RD
City: Ionia
State: Michigan
ZIP Code: 48846
Phone: (616) 522-0884

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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