GRANGER OPTICAL LLC; NPI #1750484945

Contact Information

GRANGER OPTICAL LLC

3725 W 4100 S
WEST VALLEY CITY, UT 84120-5530

Phone: 801-965-3636
Fax: 801-965-3559
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for GRANGER OPTICAL LLC

NPI Number 1750484945

LBN Legal business name GRANGER OPTICAL LLC

Authorized official ROBERT SMITH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/06/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

UT	License #	5816072
UT	Other	OP1812	EYEMED

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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GRANGER OPTICAL LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for GRANGER OPTICAL LLC

Reviews for GRANGER OPTICAL LLC