Goodwill Optical INC

NPI #1720163199 in Holland, Michigan

Provider Information

NPI Number: 1720163199
Entity Type: Organization
Organization Name: Goodwill Optical INC
Primary Specialty: Optometrist
Enumeration Date: Oct 26, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 393 E LAKEWOOD BLVD
City: Holland
State: Michigan
ZIP Code: 49424-2002
Phone: (616) 848-3333

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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