Organization
MODERN OPTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT CONENS (PRESIDENT)
(616) 949-5860
Entity
Organization
Contact information
Practice address
4228 29TH ST SE, GRAND RAPIDS, MI 49512-1936
(616) 949-5860
Mailing address
4228 29TH ST SE, GRAND RAPIDS, MI 49512-1936
(616) 949-5860
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
04/18/2008
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