Whalio Doctors

NPI 1184748840

Modern Optics, INC.

Organisation Eyewear Supplier Grand Rapids, MI

Practice location

Address
4228 29th St SE, Grand Rapids, MI 49512-1936
Phone
(616) 949-5860

Authorised official

Name
Vincent Conens
Title
President
Phone
(616) 949-5860

Registered specialties

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X

Registry record

NPI
1184748840
Entity type
Organization
NPI issued
19 Mar 2007
Record last updated
18 Apr 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.