MODERN OPTICAL EYEWEAR INC. NPI 1346384450

NPI Information

  • NPI: 1346384450
  • Provider Name: MODERN OPTICAL EYEWEAR, INC.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 2812 W FOSTER AVE
    CHICAGO, IL
    ZIP 60625
  • Phone: (773) 784-6300

Map and Directions

Get Directions

NPI Details

MODERN OPTICAL EYEWEAR, INC. is an eyewear supplier in Chicago, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MODERN OPTICAL EYEWEAR, INC. NPI is 1346384450. The provider is registered as an organization entity type.

The provider's business location address is:

2812 W FOSTER AVE
CHICAGO, IL
ZIP 60625-506
Phone: (773) 784-6300
Fax: (773) 360-9589

The provider's authorized official is John Maniatakis .
The authorized official title is Owner and has the following contact phone number (773) 784-6300.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 4/7/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier332H00000XILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10722440001MEDICARE NSCILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI