Kent Vision Centers INC

NPI #1336224682 in Grand Rapids, Michigan

Provider Information

NPI Number: 1336224682
Entity Type: Organization
Organization Name: Kent Vision Centers INC
Primary Specialty: Optometrist
Enumeration Date: Oct 26, 2006
Last Updated: Feb 23, 2009

Practice Location

Address: 4022 PLAINFIELD AVE NE
City: Grand Rapids
State: Michigan
ZIP Code: 49525-1608
Phone: (616) 363-1868

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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