Richard H Benninger Md Pc

Ophthalmology · Grand Rapids, MI

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At a glance

833 Michigan St Ne Ste 101, Grand Rapids, MI 49503-2578

NPPES record updated Nov 19, 2018. Public records can lag behind changes at a practice.

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Practice location

833 Michigan St Ne Ste 101
Grand Rapids, MI 49503-2578
Professional details: NPI, taxonomy & registry record
NPI1275618068
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Registry details

Primary taxonomy
Ophthalmology
Taxonomy code
207W00000X
Enumeration date
Oct 27, 2006
Record updated
Nov 19, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Optometrist

152W00000X

License reported: 4901003291 MI

Ophthalmology

207W00000X · Primary

License reported: 4301030073 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

833 Michigan St Ne Ste 101
Grand Rapids, MI 49503-2578
Phone
(616) 459-3713
Fax
(616) 459-3716
Mailing address
833 MICHIGAN ST NE STE 101

GRAND RAPIDS, MI 495032578
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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