Provider Demographics
NPI:1952091522
Name:A PLUS EYES
Entity Type:Organization
Organization Name:A PLUS EYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEGRA
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:BURGHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:231-679-0646
Mailing Address - Street 1:502 FAIRVIEW AVE NE # 2
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-1517
Mailing Address - Country:US
Mailing Address - Phone:231-679-0646
Mailing Address - Fax:
Practice Address - Street 1:502 FAIRVIEW AVE NE # 2
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-1517
Practice Address - Country:US
Practice Address - Phone:616-272-5434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty