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General NPI Number Information
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NPI Number | 1497745889
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Entity Type | Individual
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Provider Name | JOHN C. CRESS O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2984 HENRY ST
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City | NORTON SHORES
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State | MI
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Zip | 49441-4014
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Country | US
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Telephone | 231-737-7700
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Fax | 231-737-7701
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Provider Business Mailing Address
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Address Line | 105 W EXCHANGE ST
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City | SPRING LAKE
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State | MI
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Zip | 49456-2024
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Country | US
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Telephone | 616-846-0620
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901002494
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License Number State | MI
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