Provider Demographics
NPI:1477265478
Name:BUURMA, LINDSAY (OD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:BUURMA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 KNIGHTSBRIDGE RD SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6754
Mailing Address - Country:US
Mailing Address - Phone:616-644-3511
Mailing Address - Fax:
Practice Address - Street 1:2279 N PARK DR STE 910
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8527
Practice Address - Country:US
Practice Address - Phone:616-510-2243
Practice Address - Fax:616-510-2244
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005654152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist