Healthcare Provider Details

I. General information

NPI: 1639661069
Provider Name (Legal Business Name): BELDING FAMILY EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 W STATE ST
BELDING MI
48809
US

IV. Provider business mailing address

936 W STATE ST
BELDING MI
48809-9244
US

V. Phone/Fax

Practice location:
  • Phone: 616-794-9088
  • Fax:
Mailing address:
  • Phone: 616-794-9088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004807
License Number StateMI

VIII. Authorized Official

Name: DR. THEODORE F SEES
Title or Position: OPTOMETRIST/MANAGER/MEMBER
Credential: OD
Phone: 202-308-4796