Cutting Edge Eyewear

LBN: Cutting Edge Eyewear
Cutting Edge Eyewear is an health care organization with primary practice located at 1525 County Road 633 Suite B, Grawn MI 49637-9450. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty. Cutting Edge Eyewear can be contacted via phone (231) 943-4510, or through Fredenburg, Rae M via phone (231) 943-4510.

Contact Information

Primary practice address
1525 County Road 633 Suite B Grawn MI 49637-9450
Phone: (231) 943-4510
Fax: (231) 943-8274
Website:
Map and Directions
Authorized official contact:
Name: Fredenburg, Rae M
Phone: (231) 943-4510

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1407058928
LBN Legal business name Cutting Edge Eyewear
DBA Doing business as
Authorized official Fredenburg, Rae M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Oct 3rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407058928 NPPES
Michigan MEDICAID 4621718

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