Johnston Optical Company

LBN: Brent Optical
Johnston Optical Company is an health care organization with primary practice located at 25 Michigan St Ne Suite 1000, Grand Rapids MI 49503-2561. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Brent Optical can be contacted via phone (616) 458-1951, or through Balkema, Brent W. via phone (616) 458-1951.

Contact Information

Primary practice address
25 Michigan St Ne Suite 1000 Grand Rapids MI 49503-2561
Phone: (616) 458-1951
Fax: (616) 458-2089
Website:
Map and Directions
Authorized official contact:
Name: Balkema, Brent W.
Phone: (616) 458-1951

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1396715199
LBN Legal business name Brent Optical
DBA Doing business as Johnston Optical Company
Authorized official Balkema, Brent W.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396715199 NPPES
Michigan MEDICAID 943136666
Michigan Other 0D16535

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