Northern Optical, Inc. in Iron Mountain - Eyewear Supplier
Northern Optical, Inc. - NPI 1093867434
Northern Optical, Inc. is a Eyewear Supplier in Iron Mountain, Michigan. Northern Optical, Inc. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Northern Optical, Inc. is 1093867434. The last update date is 2022-07-21.
Northern Optical, Inc.'s current location address is 1114 S Stephenson Ave, Iron Mountain, Michigan. You can contact this provider via phone number 9067748318 and fax number 9067741603. The mailing address for Northern Optical, Inc. is 1114 S Stephenson Ave, Iron Mountain, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Optical, Inc. |
|---|---|
| Address | 1114 S Stephenson Ave, Iron Mountain, Michigan |
| Phone Number | 9067748318 |
| Fax Number | 9067741603 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tokarczyk George |
| Telephone Number | 7122521519 |
NPI Number Detail
| NPI Number | 1093867434 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1114 S Stephenson Ave |
|---|---|
| City | Iron Mountain |
| State | Michigan (MI) |
| Post Code | 498014038 |
| Phone Number | 9067748318 |
| Fax Number | 9067741603 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | U |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1242 | VISION ONE | ||
| MI3140 | MI | EYEMED | |
| 121517 | ECPA | ||
| 19204 | NATIONAL VISION ADMIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Northern Optical, Inc. by the Centers for Medicare & Medicaid Services?
The Northern Optical, Inc. has been issued the NPI (National Provider Identifier) 1093867434, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northern Optical, Inc.?
The Northern Optical, Inc. is physically situated at 1114 S Stephenson Ave, in the city of Iron Mountain, state of MI, with the postal code 498014038.
What is Northern Optical, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northern Optical, Inc. is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093867434 to Northern Optical, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1093867434 to Northern Optical, Inc. on 2007-01-17.
As of what date were the details related to Northern Optical, Inc. most recently updated or revised?
The information pertaining to Northern Optical, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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