Organization · Type 2 NPI

Oculoplastic Associates of West Michigan, PLC

Ophthalmic Plastic and Reconstructive Surgery Physician · Grand Rapids, MI

NPI number 1174974356 Active

Practice location

4070 Lake Dr SE, Suite 205
Grand Rapids, MI 49546-8294

Fax (616) 888-2949

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200X4301092933 (MI)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

14 other providers at this address

About NPI 1174974356

Oculoplastic Associates of West Michigan, PLC's National Provider Identifier is 1174974356, issued on Jun 28, 2016. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 5, 2016.