GRAND RAPIDS OPTICIANS LLC (NPI# 1154452829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154452829 |
| Entity Type | Organization |
| Organization Name | GRAND RAPIDS OPTICIANS LLC |
| Other Organization Name | G.R.O. OPTICAL |
| Practice Address |
112 S Clay St Greenville MI 48838-1914 |
| Mailing Address |
750 E Beltline Ave Ne Grand Rapids MI 49525-6049 |
| Practice Telephone | 6167545667 |
| Practice Fax Number | 6167543071 |
| Mailing Telephone | 6169421350 |
| Mailing Fax Number | 6169491670 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | MR. GREGORY CIERLIK (CEO) |
| Authorized Official Telephone | 6165886583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | 540D105120 | 01 |
| Other Name | Type Code |
|---|---|
| G.R.O. Optical | Doing Business As Name - Organization |
| G.R.O. Optical LLC | Doing Business As Name - Organization |
| GRO Optical LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821129552 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 4475 Wilson Ave Sw, Grandville, MI 49418-2368 | 2007-03-07 |
| 1265591390 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 3300 Walker View Dr, Walker, MI 49544 | 2006-12-06 |
| 1205366259 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 717 Bagley Ave Se, Grand Rapids, MI 49506-3001 | 2017-06-13 |
| 1780093716 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 6050 Northland Dr Ne, Ste 100, Rockford, MI 49341-9244 | 2014-08-04 |
| 1457771214 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2014-04-21 |
| 1629109343 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 750 E Beltline Ave Ne, Grand Rapids, MI 49525-6049 | 2007-03-07 |
| 1487785135 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 3235 N Wellness Dr, Lakeshore Medical Campus, Holland, MI 49424-7264 | 2007-03-07 |
| 1942331681 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 80 68th St Se, Spectrum South, Grand Rapids, MI 49548-6980 | 2007-03-07 |
| 1700917440 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 537 W Main St, Ionia, MI 48846-1652 | 2007-03-07 |
| Street Address |
112 S CLAY ST |
| City | GREENVILLE |
| State | MI |
| Zip Code | 48838-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810870 | Danny Ralph Dibble | Optometrist | 112 S Clay St, Greenville, MI 48838-1914 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
| 1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
| 1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
| 1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
| 1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
| 1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
| 1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
| 1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
| 1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
| Find all providers in zip 48838 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124305743 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 765 Haywood Rd, Greenville, SC 29607-2772 | 2011-11-10 |
| 1447589668 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 700 Haywood Dr, Haywood Mall, Greenville, SC 29607-2781 | 2009-12-17 |
| 1659561371 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 128 Greenacre Rd, Greenville, SC 29607-2330 | 2007-07-30 |
| 1871783035 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 15 Commerce St, Greenville, RI 02828-3011 | 2007-07-25 |
| 1346445467 | New South Labs, Inc | Eyewear Supplier (Equipment, not the service) | 207 W Antrim Dr, Greenville, SC 29607-2329 | 2007-06-19 |
| 1215153390 | Gosnell Chapman Vision Center | Eyewear Supplier (Equipment, not the service) | 100c Simpson St, Greenville, SC 29605-4413 | 2007-04-18 |
| 1720134778 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 Verdae Blvd, Greenville, SC 29607 | 2007-01-25 |
| 1801962220 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 700 Haywood Rd Ste 2018e, Greenville, SC 29607-2781 | 2006-11-28 |
| 1710051826 | Usvision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 59 Woodruff Industrial Ln, Greenville, SC 29607-4147 | 2006-11-20 |
| 1497838791 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 765 Haywood Road, Greenville, SC 29607 | 2006-10-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 48838 |
Please comment or provide details below to improve the information on GRAND RAPIDS OPTICIANS LLC.
| 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.