Grande Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DR 3967 Issued in TX

Legal business name

GRANDE OPTICAL, INC.

Practice address

2115 Boca Chica Blvd
Suite B
Brownsville, TX 78521-2227

Phone

(956) 550-9600

Fax

(956) 550-9697

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Virgil Allen Crittenden, OPTICIAN

Title

President

Phone

(956) 550-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083724892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 BOCA CHICA BLVD",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212227",
            "telephone_number": "956-550-9600",
            "fax_number": "956-550-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 BOCA CHICA BLVD",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212227",
            "telephone_number": "956-550-9600",
            "fax_number": "956-550-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-550-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "DR 3967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Gracia, D.C.
• Graciela M Leija MD PA
• Kail T Graham
• Marcus F Graham
• Cailey Briann Granado, PTA
• Grande PT Sports Medicine & Wellness P.L.L.C.
• Grandpa & Grandma Primary Home Care
• Ana Elizabeth Gray, LBSW
• Gregory W. Smith, MD PA
• Gregson Management LLC

• Eyewear Supplier in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.