Grand Lake Optical, Llc is a Eyewear Supplier (equipment, Not The Service) Store in Grove, Oklahoma. It is situated at 1120 Neo Loop, Grove and its contact number is 918-787-2121. The authorized person of Grand Lake Optical, Llc is Dr. Kevin K Toller
who is President of the store and their contact number is 918-787-2020. Grand Lake Optical, Llc is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Grand Lake Optical, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Eyewear Supplier (equipment, Not The Service)
Address:
1120 Neo Loop, Grove, Oklahoma, 74344
Phone:
918-787-2121
Fax:
918-787-6002
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Kevin K Toller
Position:
President
Contact Number:
918-787-2020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand Lake Optical, Llc center are as mentioned below.
NPI Number:
1649383191
NPI Enumeration Date:
17 Aug, 2006
NPI Last Update On:
18 Nov, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Lake Optical, Llc are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200005980A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Grand Lake Optical, Llc P.o. Box 451627, Grove, Oklahoma
Zip:
74345
Phone Number:
918-787-2121
Fax Number:
918-787-6002
Patients can reach Grand Lake Optical, Llc at 1120 Neo Loop, Grove, Oklahoma or can call to book an appointment on 918-787-2121. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.