Cutting Edge Eyewear
Organization Active NPI Optician · Grawn, MI
NPI 1407058928 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1407058928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- CUTTING EDGE EYEWEAR
- Practice address
- 1525 County Road 633
Suite B
Grawn, MI 49637-9450 - Phone
- (231) 943-4510
- Fax
- (231) 943-8274
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Rae M Fredenburg
- Title
- Owner
- Phone
- (231) 943-4510
National Provider Directory
Locations
1525 County Road 633
#B
Grawn, MI 49637
Phone (231) 943-4510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
1525 County Road 633
Suite B
Grawn, MI 49637-9450
Mailing address
1525 County Road 633
Suite B
Grawn, MI 49637-9450
Phone (231) 943-4510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4621718 | Medicaid | MI |
Other providers in Grawn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.