GRO OPTICAL LLC NPI 1629109343

NPI Information

NPI: 1629109343
Provider Name: GRO OPTICAL, LLC

Former Legal Business Name: GRAND RAPIDS OPTICIANS, LLC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 942-1350
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GRO OPTICAL, LLC is an eyewear supplier in Grand Rapids, 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 1629109343. 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:

750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525-049
Phone: (616) 942-1350
Fax: (616) 949-1670

The provider's authorized official is Kelly Mccrann .
The authorized official title is Ceo and has the following contact phone number (626) 227-2600.

The enumeration date for this NPI number is 3/7/2007 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: 4/28/2024

NPI Synchronization or Removal

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