Modern Optics, Inc

LBN: Modern Optics, Inc
Modern Optics, Inc is an health care organization with primary practice located at 4228 29Th St Se , Grand Rapids MI 49512-1936. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Modern Optics, Inc can be contacted via phone (616) 949-5860, or through Conens, Vince via phone (616) 949-5860.

Contact Information

Primary practice address
4228 29Th St Se Grand Rapids MI 49512-1936
Phone: (616) 949-5860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Conens, Vince
Phone: (616) 949-5860

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002933 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901004140 Michigan

Profile Details

NPI number 1003931601
LBN Legal business name Modern Optics, Inc
DBA Doing business as
Authorized official Conens, Vince
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Sep 18th, 2009 - about 15 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 1003931601 NPPES
Michigan Other 900D11540-0 BLUE CROSS - EXAMS

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