Modern Optics, Inc
Optometrist · Grand Rapids, MI
At a glance
4228 29Th St Se, Grand Rapids, MI 49512-1936
NPPES record updated Sep 18, 2009. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4228 29Th St SeGrand Rapids, MI 49512-1936
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Optometrist
- Taxonomy code
- 152W00000X
- Enumeration date
- Mar 20, 2007
- Record updated
- Sep 18, 2009
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Optometrist
152W00000X
License reported: 4901002933 MI
Optometrist
152W00000X · Primary
License reported: 4901004140 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4228 29Th St SeGrand Rapids, MI 49512-1936
- Phone
- (616) 949-5860
Mailing address
4228 29TH ST SEGRAND RAPIDS, MI 495121936
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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