GRO OPTICAL LLC NPI 1265591390

NPI Information

NPI: 1265591390
Provider Name: GRO OPTICAL, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Former Legal Business Name: GRAND RAPIDS OPTICIANS, LLC
CLIA Number: 23D2324850
Address: 3300 WALKER VIEW DR
WALKER, MI
ZIP 49544
Phone: (616) 776-7979

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NPI Details

GRO OPTICAL, LLC is an eyewear supplier in Walker, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GRO OPTICAL, LLC NPI is 1265591390. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Grand Rapids Opticians, Llc.

The provider's business location address is:

3300 WALKER VIEW DR
WALKER, MI
ZIP 49544
Phone: (616) 776-7979
Fax: (616) 647-0492

The provider's authorized official is Kelly Mccrann .
The authorized official title is Ceo and has the following contact phone number (636) 227-2600.

The CLIA number assigned to this NPI record is 23D2324850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 2/15/2021.

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
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	540D105120	OTHER	MICHIGAN	BCBS OF MI

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: 11/21/2025

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