Modern Optics, INC
NPI #1003931601 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003931601
- Entity Type
- Organization
- Organization Name
- Modern Optics, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Sep 18, 2009
Practice Location
- Address
- 4228 29TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49512-1936
- Phone
- (616) 949-5860
Authorized Official
- Name
- MR. VINCE CONENS
- Title
- PRESIDENT
- Phone
- (616) 949-5860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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