GRAND SPECTACLE INC (NPI# 1003935867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003935867 |
| Entity Type | Organization |
| Organization Name | GRAND SPECTACLE INC |
| Practice Address |
764 Grand Ave Saint Paul MN 55105-3306 |
| Practice Telephone | 6512278198 |
| Practice Fax Number | 6512278198 |
| Mailing Telephone | 6512278198 |
| Mailing Fax Number | 6512278198 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATTHEW MCDONOUGH (CERTIFIED OPTICIAN) |
| Authorized Official Telephone | 6512278198 |
| Authorized Official Credential | ABOM, NCLE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346506581 | Grand Spectacle Inc | Optometrist | 764 Grand Ave, Saint Paul, MN 55105-3306 | 2012-04-02 |
| Street Address |
764 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346506581 | Grand Spectacle Inc | Optometrist | 764 Grand Ave, Saint Paul, MN 55105-3306 | 2012-04-02 |
| 1972622710 | Thomas R Barber | Optometrist | 764 Grand Ave, Saint Paul, MN 55105-3306 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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|---|---|---|---|---|
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| 1831361302 | Teri Rachel Focht | Technician/Technologist | 944 Euclid St, Saint Paul, MN 55106-5615 | 2008-03-25 |
| 1619472545 | Wade Nooleen | Technician/Technologist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2018-03-23 |
| 1043627466 | Grace Vision, Inc Dba Pearle Vision | Technician/Technologist | 3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 | 2014-07-17 |
| 1992937338 | Roseville Opticians | Technician/Technologist | 1790 Lexington Ave N, Saint Paul, MN 55113-6167 | 2009-08-19 |
| 1386883254 | James Edward Johnson | Technician/Technologist | 101 5th St E Ste 281, Saint Paul, MN 55101-1862 | 2009-02-16 |
| 1821171430 | Wal-mart Stores, Inc. | Technician/Technologist | 1644 Robert St S, Saint Paul, MN 55118-3918 | 2006-10-24 |
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| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1215316682 | National Vision, Inc. | Technician/Technologist | 12940 Riverdale Dr Nw, Ste 300, Coon Rapids, MN 55448-8412 | 2015-05-19 |
| 1619354156 | National Vision, Inc. | Technician/Technologist | 1727 Beam Ave, Ste D, Maplewood, MN 55109-1164 | 2015-05-05 |
| 1124437223 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2316 | 2014-08-04 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1174966683 | David Yang | Technician/Technologist | 987 Oday St S, Maplewood, MN 55119-5953 | 2013-04-15 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| 1639425952 | Optical Services Direct LLC | Technician/Technologist | 10524 Kimbro Ave S, Cottage Grove, MN 55016-4150 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.