Elder Eye Care Group Plc

NPI #1477617579 in Spring Lake, Michigan

Provider Information

NPI Number: 1477617579
Entity Type: Organization
Organization Name: Elder Eye Care Group Plc
Primary Specialty: Optometrist
Enumeration Date: Dec 21, 2006
Last Updated: Sep 14, 2012

Practice Location

Address: 15666 RIVER SIDE DR
City: Spring Lake
State: Michigan
ZIP Code: 49456-9243
Phone: (616) 502-0069

Authorized Official

Name: DR. MARK A VENTOCILLA, OD
Title: PRESIDENT
Phone: (616) 502-0069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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