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HOLLAND EYE CLINIC PC NPI 1447361506


NPI Information

NPI: 1447361506
Provider Name: HOLLAND EYE CLINIC, PC

Doing Business As: HOLLAND EYE SURGERY AND LASER CENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 23D0379428

Address:
999 WASHINGTON AVE
HOLLAND, MI
ZIP 49423
Phone: (616) 396-2316
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HOLLAND EYE CLINIC, PC is an ophthalmologic surgery clinic center in Holland, MI. HOLLAND EYE CLINIC, PC NPI is 1447361506. The provider is registered as an organization entity type.
The provider Is Doing Business As Holland Eye Surgery And Laser Center.

The provider's business location address is:

999 WASHINGTON AVE
HOLLAND, MI
ZIP 49423-722
Phone: (616) 396-2316
Fax: (616) 396-0085

The provider's authorized official is Dan Barnes .
The authorized official title is Administrator and has the following contact phone number (616) 396-2316.

The CLIA number assigned to this NPI record is 23D0379428 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10G07000MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
20G070006492OTHERMICHIGANBLUE CROSS BLUE SHIELD
3490000729OTHERMICHIGANRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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