NPI 1043350689

Michigan Street Optical

Organisation Durable Medical Equipment & Medical Supplies Grand Rapids, MI

Practice location

Address: 426 Michigan St NE Suite 101, Grand Rapids, MI 49503-5609
Phone: (616) 459-1844
Fax: (616) 459-3716
Mailing address: PO Box 2588, Portage, MI 49081-2588

Authorised official

Name: Richard H Benninger
Title: Owner
Phone: (269) 373-8878

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 4301030073 (MI)

Other Durable Medical Equipment & Medical Supplies providers in Michigan →

Registry record

NPI: 1043350689
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 29 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.