GRAND SPECTACLE INC NPI 1003935867

NPI Information

  • NPI: 1003935867
  • Provider Name: GRAND SPECTACLE INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 764 GRAND AVE
    SAINT PAUL, MN
    ZIP 55105
  • Phone: (651) 227-8198

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NPI Details

GRAND SPECTACLE INC is an optician technician technologist in Saint Paul, MN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. GRAND SPECTACLE INC NPI is 1003935867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

764 GRAND AVE
SAINT PAUL, MN
ZIP 55105-306
Phone: (651) 227-8198
Fax: (651) 227-8198

The provider's authorized official is Matthew Mcdonough .
The authorized official title is Certified Optician and has the following contact phone number (651) 227-8198.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianYes

What is NPI?

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This page was last updated on: 11/21/2025

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