Modern Optical International

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MODERN OPTICAL INTERNATIONAL

Practice address

585 Congress Cir N
Roselle, IL 60172-3905

Phone

(630) 350-7707

Fax

(630) 350-7715

NPI assigned

Aug 13, 2010

Last updated

Aug 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ken Weissman

Title

President

Phone

(630) 350-7707

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1043525066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CONGRESS CIR N",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723905",
            "telephone_number": "630-350-7707",
            "fax_number": "630-350-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 CONGRESS CIR N",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723905",
            "telephone_number": "630-350-7707",
            "fax_number": "630-350-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OPTICAL INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-350-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Roselle, IL
• Providers in Roselle, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.