Modern Optics, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MODERN OPTICS, INC.

Practice address

4228 29TH St SE
Grand Rapids, MI 49512-1936

Phone

(616) 949-5860

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Conens

Title

President

Phone

(616) 949-5860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1184748840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 29TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121936",
            "telephone_number": "616-949-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 29TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121936",
            "telephone_number": "616-949-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OPTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "CONENS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-949-5860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Center Inc.
• Marcy Kay Mobley
• Christopher Robert Moblo, RPH
• Malina Moceri
• Modern Optics, Inc
• Modern Periodontics
• Krishna Modi, MD
• Amy Modlin, LMSW, CAADC
• Ann Kathryn Modzeleski, LPC
• Kathleen Ann Moelker, MSPT

• Eyewear Supplier in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.