Brent Optical

NPI 1396715199 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1396715199
Enumeration Date 01/24/2006
Last Updated 03/30/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRENT W. BRENT
Position OWNER
Phone (616) 458-1951
Fax (616) 458-2089
Practice Location
25 MICHIGAN ST NE
SUITE 1000
GRAND RAPIDS MI, 49503-2561, US
Phone (616) 458-1951
Fax (616) 458-2089
Business Location
25 MICHIGAN ST NE
SUITE 1000
GRAND RAPIDS MI, 49503-2561, US
Phone (616) 458-1951
Fax (616) 458-2089
Toxanomy
Taxonomy Code 156FX1800X
License State
License Number
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According to our database, Brent Optical NPI is 1396715199, taxonomy code is 156FX1800X Brent Optical physically located at 25 Michigan St Ne, Grand Rapids MI, 49503-2561. NPI Number 1033115704 has the healthcare provider type.

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1396715199 NPI number is provided on an as is basis without warranty of any kind. 1396715199 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Optical are for informational purposes only.