Brent Optical
NPI #1396715199 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1396715199
- Entity Type
- Organization
- Organization Name
- Brent Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 24, 2006
- Last Updated
- Mar 30, 2009
Practice Location
- Address
- 25 MICHIGAN ST NE
- Address 2
- SUITE 1000
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-2561
- Phone
- (616) 458-1951
Authorized Official
- Name
- MR. BRENT W. BALKEMA
- Title
- OWNER
- Phone
- (616) 458-1951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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