NPIMap

Organization Active NPI

Gro Optical, LLC

  • Eyewear Supplier
  • Grand Rapids, MI
National Provider Identifier
1205366259
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GRO OPTICAL, LLC
Practice address
717 Bagley Ave SE
Grand Rapids, MI 49506-3001
Phone
(616) 451-0896
Fax
(616) 451-4111
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Kelly McCrann
Title
Ceo
Phone
(636) 227-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

717 Bagley Ave SE
Grand Rapids, MI 49506-3001

Mailing address

750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 942-1350

Other names 2

  • G.R.O. Optical LLC Doing business as
  • Grand Rapids Opticians, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Grand Rapids Opticians LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1205366259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256049",
            "telephone_number": "616-942-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BAGLEY AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063001",
            "telephone_number": "616-451-0896",
            "fax_number": "616-451-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRO OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "MCCRANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-227-2600"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.R.O. Optical LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Rapids Opticians, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Rapids Opticians, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.