Coopersville Vision Center PC
Organization Active NPI Optometrist · Coopersville, MI
NPI 1699816124 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1699816124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901002956 (MI)
- Legal business name
- COOPERSVILLE VISION CENTER PC
- Practice address
- 692 W Randall St
Coopersville, MI 49404-1306 - Phone
- (616) 837-6847
- Fax
- (616) 837-9338
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dawn K Walt, OD
- Title
- Owner
- Phone
- (616) 837-6847
Practitioners 2
-
Aimee Bronson, O.D.
-
Jeffrey F Wilson, OD PC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901002956 | MI | Yes |
Addresses
Primary practice location
692 W Randall St
Coopersville, MI 49404-1306
Mailing address
692 W Randall St
Coopersville, MI 49404-1306
Phone (616) 837-6847
Other providers in Coopersville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.