National Provider Identifier Database

CUTTING EDGE EYEWEAR
Optician


Contact Information

CUTTING EDGE EYEWEAR
1525 COUNTY ROAD 633
SUITE B
GRAWN, MI49637-9450
Phone: 231-943-4510
Fax: 231-943-8274
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for CUTTING EDGE EYEWEAR

NPI Number 1407058928
Legal business name
LBN
CUTTING EDGE EYEWEAR
Authorized official RAE FREDENBURG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/05/2007
Last updated 10/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Medicaid: 4621718

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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