OrganizationActive
Allendale Family Vision LLC
NPI 1639467962 · Optometrist · Allendale, MI
Provider details
- NPI number
- 1639467962
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nicholas Lillie, President(616) 895-2020
- License
- 4901004659 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6101 Lake Michigan Dr
Allendale, MI 49401-9215
Phone: (616) 895-2020
Fax: (616) 895-2060
Approximate (ZIP-level) locationGet directions
Mailing address
6101 Lake Michigan Dr
Allendale, MI 49401-9215
Registry dates
- Enumerated
- 2011-07-20
- Last updated
- 2013-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.