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MODERN OPTICS INC. NPI 1184748840


NPI Information

NPI: 1184748840
Provider Name: MODERN OPTICS, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
4228 29TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 949-5860
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MODERN OPTICS, INC. is an eyewear supplier in Grand Rapids, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MODERN OPTICS, INC. NPI is 1184748840. The provider is registered as an organization entity type.

The provider's business location address is:

4228 29TH ST SE
GRAND RAPIDS, MI
ZIP 49512-936
Phone: (616) 949-5860

The provider's authorized official is Vincent Conens .
The authorized official title is President and has the following contact phone number (616) 949-5860.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10250200001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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