Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Eyewear Supplier · Grand Rapids, MI

NPI number 1124365671 Active

Practice location

35 Michigan St NE, Ste. 5101
Grand Rapids, MI 49503-2514

Call (616) 267-1030 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

57 other providers at this address

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NPI record

NPI: 1124365671
Entity type: Organization (Type 2)
Issued: Jan 3, 2013
Last updated: Oct 26, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

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SHMG (eyewear Supplier - Equipment, Not the Service) · doing business as

Authorized official

Pauline Krywanski
SVP Finance
(616) 486-2253

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124365671

Spectrum Health Primary Care Partners's National Provider Identifier is 1124365671, issued on Jan 3, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2023.