Michigan Street Optical in Grand Rapids - Durable Medical Equipment & Medical Supplies
Michigan Street Optical - NPI 1043350689
Michigan Street Optical is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. Michigan Street Optical practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Michigan Street Optical is 1043350689. The last update date is 2008-07-29.
Michigan Street Optical's current location address is 426 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164591844 and fax number 6164593716. The mailing address for Michigan Street Optical is 426 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Street Optical |
|---|---|
| Address | 426 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6164591844 |
| Fax Number | 6164593716 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Benninger H Richard |
| Credentials | MD |
| Telephone Number | 2693738878 |
NPI Number Detail
| NPI Number | 1043350689 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 426 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495035609 |
| Phone Number | 6164591844 |
| Fax Number | 6164593716 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 4301030073 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 540D116620 | MI | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michigan Street Optical by the Centers for Medicare & Medicaid Services?
The Michigan Street Optical has been issued the NPI (National Provider Identifier) 1043350689 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michigan Street Optical?
The Michigan Street Optical is physically situated at 426 Michigan St Ne, in the city of Grand Rapids, state of MI, with the postal code 495035609.
What is Michigan Street Optical's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michigan Street Optical is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043350689 to Michigan Street Optical?
The Centers for Medicare & Medicaid Services originally issued the 1043350689 to Michigan Street Optical on 2007-02-06.
When was the information pertaining to Michigan Street Optical most recently updated or revised?
The details related to Michigan Street Optical, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-29.
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