GRAND RAPIDS OPTICIANS LLC (NPI# 1457771214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457771214 |
| Entity Type | Organization |
| Organization Name | GRAND RAPIDS OPTICIANS LLC |
| Other Organization Name | GRO OPTICAL LLC |
| Practice Address |
10047 Crossroad Ct Se Caledonia MI 49316-7316 |
| Practice Telephone | 6165886556 |
| Mailing Telephone | 6165886556 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | ROBERT WOLFORD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6165886588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| 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 |
| 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 |
10047 CROSSROAD CT SE |
| City | CALEDONIA |
| State | MI |
| Zip Code | 49316-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831142306 | Liton Mecano | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2006-05-18 |
| 1285029249 | Jesse Tien | Physician Assistant | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2015-04-06 |
| 1760896906 | Mitchell Sydloski | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2014-06-16 |
| 1568758704 | Rebecca Marie Osbourne | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2011-06-27 |
| 1972511400 | Wendy Sue Balivet | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316 | 2006-08-03 |
| 1225050701 | Channing E Finkbeiner | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1033619135 | Spectrum Health Primary Care Partners | Physical Therapist | 6201 68th St Se, Caledonia, MI 49316 | 2018-02-15 |
| 1538672035 | Justin Michael Keely | Student in an Organized Health Care Education/Training Program | 8441 Sunnyview Rd., Caledonia, MI 49316 | 2017-11-07 |
| 1457614521 | Rahaf Halimeh | Dentist | 3625 Riverbed Lane Se, #3, Caledonia, MI 49316 | 2012-06-22 |
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1841588522 | Oday Ali Kasim | Pharmacist | 9375 Cherry Valley Ave., Caledonia, MI 49316 | 2011-07-15 |
| 1417183344 | Allison Leigh Ford | Physical Therapist | 10047 Cross Road Ct. Se, Suite 150, Caledonia, MI 49316 | 2009-06-05 |
| 1336351741 | Paula Delorm | Physical Therapist | 6595 Gracepoint Dr. Se, Caledonia, MI 49316 | 2007-05-06 |
| 1366532798 | Wayne D Westbrook | Dentist | 3125 68th St Se, Dutton, MI 49316 | 2006-10-14 |
| 1629184056 | Patricia Brunck Cassell | Social Worker | 9090 Sourth Rodgers Court Se, Caledonia, MI 49316 | 2006-08-21 |
| Find all providers in zip 49316 | ||||
| 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 |
|---|---|---|---|---|
| 1295860096 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 1829 Marketplace Dr Se, Caledonia, MI 49316-8506 | 2007-02-22 |
| 1588065023 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1801 Marketplace Dr Se, Caledonia, MI 49316-8506 | 2014-09-15 |
| 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.