Provider Demographics
NPI:1932194370
Name:ALMY, GERALD LAWRENCE II (OD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:LAWRENCE
Last Name:ALMY
Suffix:II
Gender:M
Credentials:OD
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Mailing Address - Street 1:105 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-2024
Mailing Address - Country:US
Mailing Address - Phone:616-846-0620
Mailing Address - Fax:616-844-6079
Practice Address - Street 1:505 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-1688
Practice Address - Country:US
Practice Address - Phone:616-897-0330
Practice Address - Fax:616-897-8744
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2009-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4901002730152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU30023Medicare UPIN