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Contact Information

MODERN OPTICAL EYEWEAR, INC.
2812 W FOSTER AVE
CHICAGO, IL60625-3506
 Phone: 773-784-6300
 Fax: 773-360-9589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MODERN OPTICAL EYEWEAR, INC.

NPI Number 1346384450
LBN Legal business name MODERN OPTICAL EYEWEAR, INC.
Authorized official JOHN MANIATAKIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 04/07/2008 - About 18 years ago
Identifiers
IL License # 332H00000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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