Shoreline Optical, LLC

NPI #1326383506 in Fremont, Michigan

Provider Information

NPI Number: 1326383506
Entity Type: Organization
Organization Name: Shoreline Optical, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 29, 2012
Last Updated: May 22, 2024

Practice Location

Address: 1401 W MAIN ST
Address 2: SUITE 101
City: Fremont
State: Michigan
ZIP Code: 49412-1486
Phone: (231) 739-9009

Authorized Official

Name: ANDREA LYNN PATRICK
Title: ACCOUNT MANAGER
Phone: (616) 588-6593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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