Goodwill Optical INC
NPI #1710924261 in Interlochen, Michigan
Provider Information
- NPI Number
- 1710924261
- Entity Type
- Organization
- Organization Name
- Goodwill Optical INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 2720 J MADDY PKWY
- City
- Interlochen
- State
- Michigan
- ZIP Code
- 49643-9135
- Phone
- (231) 932-1520
Authorized Official
- Name
- MR. STEPHEN MICHAEL HANCOTTE
- Title
- PRESIDENT
- Phone
- (231) 932-1520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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