GRAND RAPIDS OPTICIANS LLC (NPI# 1265591390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265591390 |
| Entity Type | Organization |
| Organization Name | GRAND RAPIDS OPTICIANS LLC |
| Other Organization Name | G.R.O. OPTICAL |
| Practice Address |
3300 Walker View Dr Walker MI 49544 |
| Mailing Address |
750 E Beltline Ave Ne Grand Rapids MI 49525-6049 |
| Practice Telephone | 6167767979 |
| Practice Fax Number | 6166470492 |
| Mailing Telephone | 6169492600 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | MR. WILLIAM HUGHSON (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 |
| 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 |
| 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 |
| 1154452829 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 112 S Clay St, Greenville, MI 48838-1914 | 2007-03-07 |
| Street Address |
3300 WALKER VIEW DR |
| City | WALKER |
| State | MI |
| Zip Code | 49544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1487789350 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 3150 Alpine Ave Nw, Ste. F, Walker, MI 49544-1667 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
| 1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
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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.