Provider Demographics
NPI:1548622426
Name:PARZ, ALYSSA LAUREN (OD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:LAUREN
Last Name:PARZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3152 PEREGRINE DR NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9723
Mailing Address - Country:US
Mailing Address - Phone:616-447-1444
Mailing Address - Fax:616-447-1445
Practice Address - Street 1:3152 PEREGRINE DR NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-9723
Practice Address - Country:US
Practice Address - Phone:616-447-1444
Practice Address - Fax:616-447-1445
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901004973152W00000X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152W00000XEye and Vision Services ProvidersOptometrist