MRG Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MRG INC

Doing business as

Garrys Opticians

Practice address

2810 North Broadway
Fargo, ND 58102-1420

Phone

(701) 232-1161

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Richard Gravalin, ABOC OPTICIAN

Title

Owner Manager

Phone

(701) 232-1161

Specialties & licenses 1

Addresses

Other names 1

• Garrys Opticians Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245301852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 NORTH BROADWAY",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021420",
            "telephone_number": "701-232-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 NORTH BROADWAY",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021420",
            "telephone_number": "701-232-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVALIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "701-232-1161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrys Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Move Chiropractic LLC
• Mailyn Marie Mozingo, PMHNP
• Justin Felix Mozinski I, NP
• Morgan Alexandra Mozinski, NP
• Gilbert S Mrema
• MS4 PLLC (The Medicine Shoppe Long Term Care)
• MS4 PLLC (The Medicine Shoppe)
• Erica Muchow, RN
• Kyle Joseph Muckenhirn, MD
• Beth Luise Muehlberg, MSW

• Eyewear Supplier in Fargo, ND
• Providers in Fargo, ND by specialty
• Eyewear Supplier in North Dakota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.