Modern Optical

LBN: Modern Optical
Modern Optical is an health care organization with primary practice located at 206 Euclid Ave , Des Moines IA 50313-4404. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Modern Optical can be contacted via phone (515) 282-8808, or through Clark Jr, Van Db via phone (515) 282-8808.

Contact Information

Primary practice address
206 Euclid Ave Des Moines IA 50313-4404
Phone: (515) 282-8808
Fax: (515) 280-1182
Website:
Map and Directions
Authorized official contact:
Name: Clark Jr, Van Db
Phone: (515) 282-8808

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X Iowa

Profile Details

NPI number 1417085903
LBN Legal business name Modern Optical
DBA Doing business as
Authorized official Clark Jr, Van Db
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1417085903 NPPES
Iowa MEDICAID 0038307

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