OrganizationActive
Oculoplastic Associates of West Michigan, PLC
NPI 1174974356 · Ophthalmic Plastic and Reconstructive Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1174974356
- Entity type
- Organization
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tiffany Kent, Owner, Physician(616) 888-2948
- License
- 4301092933 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4070 Lake Dr Se
Suite 205
Grand Rapids, MI 49546-8294
Phone: (616) 888-2948
Fax: (616) 888-2949
Approximate (ZIP-level) locationGet directions
Mailing address
4070 Lake Dr Se
Grand Rapids, MI 49546-8294
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.