MEDICARE: DR. GERALD LAWRENCE ALMY II 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
1	152W00000X	Optometrist	4901002730	MI

General Provider Information

NPI Number	:	1932194370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD LAWRENCE ALMY II O.D.

Provider Business Mailing Address
First Line	:	105 W EXCHANGE ST
Second Line	:
City	:	SPRING LAKE
State	:	MI
Zip	:	49456-2024
Country	:	US
Telephone Number	:	616-846-0620
Fax Number	:	616-844-6079

Provider Business Practice Location Address
First Line	:	505 W MAIN ST
Second Line	:
City	:	LOWELL
State	:	MI
Zip	:	49331-1688
Country	:	US
Telephone Number	:	616-897-0330
Fax Number	:	616-897-8744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	04/07/2009

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