Modern Optical in Des Moines - Customized Equipment
Modern Optical - NPI 1417085903
Modern Optical is a Customized Equipment in Des Moines, Iowa. Modern Optical practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Modern Optical is 1417085903. The last update date is 2020-08-22.
Modern Optical's current location address is 206 Euclid Ave, Des Moines, Iowa. You can contact this provider via phone number 5152828808 and fax number 5152801182. The mailing address for Modern Optical is 206 Euclid Ave, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Optical |
|---|---|
| Address | 206 Euclid Ave, Des Moines, Iowa |
| Phone Number | 5152828808 |
| Fax Number | 5152801182 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Jr Db Van |
| Telephone Number | 5152828808 |
NPI Number Detail
| NPI Number | 1417085903 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 206 Euclid Ave |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503134404 |
| Phone Number | 5152828808 |
| Fax Number | 5152801182 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38307 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Modern Optical by the Centers for Medicare & Medicaid Services?
The Modern Optical has been assigned the NPI (National Provider Identifier) 1417085903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Modern Optical is geographically located?
The Modern Optical is physically situated at the following location: 206 Euclid Ave, Des Moines, IA, 503134404.
What is Modern Optical's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Modern Optical's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.
On what date did Modern Optical receive its 1417085903 assignment from the Centers for Medicare & Medicaid Services?
The Modern Optical was assigned its 1417085903 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Modern Optical last refreshed?
The information related to the Modern Optical, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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