institution
Brent Optical
Optician in Grand Rapids, Michigan
NPI 1396715199

Brent Optical is a Optician based in Grand Rapids, MI and is specialized in Optician. Brent Optical practices in Grand Rapids, MI. The NPI Number for Brent Optical is 1396715199 and holds a License No. (Michigan).

The current practice location address for Brent Optical is 25 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-458-1951 and via fax at 616-458-2089.

Location: 25 Michigan St Ne, Grand Rapids, MI, 49503-2561
institution
Provider Profile Details
NPI Number
1396715199
Provider Name
Brent Optical
Credential
Provider Entity Type
Organization
Address
25 Michigan St Ne, Grand Rapids, MI, 49503-2561
Phone Number
616-458-1951
Fax Number
616-458-2089
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
943136666 05 MI
0D16535 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
25 Michigan St Ne
City
State
Zip
49503-2561
Phone Number
616-458-1951
Fax Number
616-458-2089
person
Provider Business Mailing Address Details
Address
25 Michigan St Ne
City
State
Zip
49503-2561
Phone Number
616-458-1951
Fax Number
616-458-2089
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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