Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 4901004973 | MI |
Y | 152WV0400X | Optomitrist - Vision Therapist | 4901004973 | MI |
NPI | 1548622426 |
---|---|
Provider Name | Dr. Alyssa Lauren Parz |
First Address | Grand Rapids, MI 49525-9723 |
Second Address | Grand Rapids, MI 49525-9723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 31/03/2021 |