DOWNTOWN OPTICAL SHOPPE INC. NPI 1720126774

NPI Information

NPI: 1720126774
Provider Name: DOWNTOWN OPTICAL SHOPPE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
204 S RIVER AVE
HOLLAND, MI
ZIP 49423
Phone: (616) 396-1205
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DOWNTOWN OPTICAL SHOPPE, INC. is a customized equipment durable medical equipment medical supplies in Holland, MI. DOWNTOWN OPTICAL SHOPPE, INC. NPI is 1720126774. The provider is registered as an organization entity type.

The provider's business location address is:

204 S RIVER AVE
HOLLAND, MI
ZIP 49423-143
Phone: (616) 396-1205
Fax: (616) 396-9442

The provider's authorized official is Stuart James Solomon .
The authorized official title is President and has the following contact phone number (616) 396-1205.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	900G07607	OTHER	MICHIGAN	BLUECROSSBLUESHIELD OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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