DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ROBERT C HUIZENGA O D

MEDICARE: DR. ROBERT C HUIZENGA O D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5330000171MI
2152W00000XOptometrist4901002647MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1152W0000XOTHERMITAXONOMY

General Provider Information

NPI Number : 1447255914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT C HUIZENGA O D
Provider Business Mailing Address
First Line : 1950 OLD GALLOWS RD STE 520
Second Line :
City : VIENNA
State : VA
Zip : 22182-3970
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 7673 GEORGETOWN CENTER DR
Second Line :
City : JENISON
State : MI
Zip : 49428-8101
Country : US
Telephone Number : 616-457-2020
Fax Number : 616-457-4043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 11/22/2021

Similar Medicare Providers

1629046503 — ANITA MARIA VANDERSTELT D.O.
Practice Location Address:
7686 GEORGETOWN CTR DR
JENISON, MI
49428-8101
Practice Phone: 616-252-8600
Practice Fax: 616-252-8660
1235192188 — DIANA L DILLMAN D.O.
Practice Location Address:
7686 GEORGETOWN CENTER DR
JENISON, MI
49428-8101
Practice Phone: 616-252-8600
Practice Fax: 616-252-8660
1154384931 — KARL O BREITWEISER D.O.
Practice Location Address:
7686 GEORGETOWN CENTER DR
JENISON, MI
49428-8101
Practice Phone: 616-252-8600
Practice Fax: 616-252-8660
1922062108 — JAMES B MITTON D.O.
Practice Location Address:
7686 GEORGETOWN CENTER DR
JENISON, MI
49428-8101
Practice Phone: 616-252-4765
Practice Fax: 616-252-0127
1033473053 — DR. MATTHEW WESLEY MEDLEY DO
Practice Location Address:
7686 GEORGETOWN CENTER DR
JENISON, MI
49428-8101
Practice Phone: 616-252-8600
Practice Fax: 616-252-8660
1134529993 — MEGAN MOUSER NP-C
Practice Location Address:
7686 GEORGETOWN CENTER DR
JENISON, MI
49428-8101
Practice Phone: 616-252-8600
Practice Fax: 616-252-8660

Directions to “ DR. ROBERT C HUIZENGA O D” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.