Organization · Type 2 NPI

Shoreline Optical, LLC

Eyewear Supplier · Spring Lake, MI

NPI number 1972808921 Active

Practice location

625 E Savidge St
Spring Lake, MI 49456-1956

Call (231) 739-9009 Map

Mailing address

1266 E Sherman Blvd
Muskegon, MI 49444-1847

Other practice locations

1266 E Sherman Blvd, Muskegon, MI 49444-1847 · (231) 739-9009

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
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.

Another provider at this address

Shoreline Ophthalmology PLLCOptometrist Spring Lake, MI NPI 1699079160

NPI record

NPI: 1972808921
Entity type: Organization (Type 2)
Issued: Jan 24, 2011
Last updated: May 22, 2024
Status: Active

Other names

<unavail>
Shoreline Ophthalmology PC · former legal business name
Shoreline Ophthalmology PC · former legal business name

Authorized official

Andrea Lynn Patrick
Account Manager
(616) 588-6593

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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 1972808921

Shoreline Optical, LLC's National Provider Identifier is 1972808921, issued on Jan 24, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Spring Lake, MI. The record was last updated on May 22, 2024.