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GRANDE OPTICAL INC. NPI 1083724892


NPI Information

NPI: 1083724892
Provider Name: GRANDE OPTICAL, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2115 BOCA CHICA BLVD
SUITE B
BROWNSVILLE, TX
ZIP 78521
Phone: (956) 550-9600
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GRANDE OPTICAL, INC. is an eyewear supplier in Brownsville, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GRANDE OPTICAL, INC. NPI is 1083724892. The provider is registered as an organization entity type.

The provider's business location address is:

2115 BOCA CHICA BLVD
SUITE B
BROWNSVILLE, TX
ZIP 78521-227
Phone: (956) 550-9600
Fax: (956) 550-9697

The provider's authorized official is Virgil Allen Crittenden .
The authorized official title is President and has the following contact phone number (956) 550-9600.

The enumeration date for this NPI number is 8/30/2006 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
1332H00000XEyewear SupplierDR 3967TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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