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Grand Lake Optical, Llc
Eyewear Supplier in Grove, Oklahoma
NPI 1649383191

Grand Lake Optical, Llc is a Eyewear Supplier based in Grove, OK. Grand Lake Optical, Llc practices in Grove, OK. The NPI Number for Grand Lake Optical, Llc is 1649383191 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Optical, Llc is 1120 Neo Loop, Grove, OK and can be reached out via phone at 918-787-2121 and via fax at 918-787-6002.

Location: 1120 Neo Loop, Grove, OK, 74345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649383191
Provider Name
Grand Lake Optical, Llc
Credential
Provider Entity Type
Organization
Address
1120 Neo Loop, Grove, OK, 74345
Phone Number
918-787-2121
Fax Number
918-787-6002
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200005980A 05 OK
institution
Provider Business Practice Location Address Details
Address
1120 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2121
Fax Number
918-787-6002
person
Provider Business Mailing Address Details
Address
1120 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2121
Fax Number
918-787-6002
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
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Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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