MODERN OPTICS, INC. (NPI# 1184748840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184748840 |
| Entity Type | Organization |
| Organization Name | MODERN OPTICS, INC. |
| Practice Address |
4228 29th St Se Grand Rapids MI 49512-1936 |
| Practice Telephone | 6169495860 |
| Mailing Telephone | 6169495860 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | MR. VINCENT CONENS (PRESIDENT) |
| Authorized Official Telephone | 6169495860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
4228 29TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003931601 | Modern Optics, Inc | Optometrist | 4228 29th St Se, Grand Rapids, MI 49512-1936 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1598208936 | Jonas Paul Eyewear, LLC | Eyewear Supplier (Equipment, not the service) | 38 Fulton St W Ste 210, Grand Rapids, MI 49503-2644 | 2016-12-01 |
| 1023340528 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 3579 Alpine Ave Nw, Suite 15, Grand Rapids, MI 49544-1635 | 2010-02-08 |
| 1437393022 | Next Generation Ophthalmics | Eyewear Supplier (Equipment, not the service) | 1200 Se 4th Ave, Grand Rapids, MN 55744-4294 | 2009-04-27 |
| 1902071764 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Southeast 29th St., Grand Rapids, MI 55744 | 2008-04-23 |
| 1396935318 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 1526 Plainfield Ave Ne, Grand Rapids, MI 49505-4923 | 2007-07-26 |
| 1598895617 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2735 28th Street Se, Grand Rapids, MI 49512 | 2007-03-07 |
| 1386779171 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 5150 Northland Dr Ne, Suite B, Grand Rapids, MI 49525-1081 | 2007-02-22 |
| 1356476238 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 2500 E Beltline Ave Se, Grand Rapids, MI 49546-5987 | 2007-02-22 |
| 1497891048 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4284 Plainfield Ne, Grand Rapids, MI 49525-1612 | 2007-01-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.