Portage Family Vision Care, PC

NPI #1669711438 in Portage, Michigan

Provider Information

NPI Number: 1669711438
Entity Type: Organization
Organization Name: Portage Family Vision Care, PC
Primary Specialty: Optometrist
Enumeration Date: Feb 13, 2013
Last Updated: Feb 13, 2013

Practice Location

Address: 6483 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002-3542
Phone: (269) 324-4242

Authorized Official

Name: KATIE SIMON, O.D.
Title: PRESIDENT/OWNER
Phone: (269) 324-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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