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Contact Information

GRO OPTICAL, LLC
3235 N WELLNESS DR
LAKESHORE MEDICAL CAMPUS
HOLLAND, MI49424-7264
 Phone: 616-994-9586
 Fax: 616-994-0105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GRO OPTICAL, LLC

NPI # 1487785135
LBN Legal business name GRO OPTICAL, LLC
Authorized official KELLY MCCRANN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 02/15/2021 - About 5 years ago
Identifiers
MI Other 540D105120 BCBS OF MI
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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