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Contact Information

BRUNSWICK OPTICAL
1333 N CARPENTER RD
BRUNSWICK, OH44212-3178
 Phone: 330-741-3407
 Fax: 330-741-4037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRUNSWICK OPTICAL

NPI Number 1659920189
LBN Legal business name BRUNSWICK OPTICAL
Authorized official MATTHEW GRUCELLA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2019
Last updated 09/08/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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