Brunswick Optical

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRUNSWICK OPTICAL

Doing business as

Brunswick Optical

Practice address

1333 N Carpenter Rd
Brunswick, OH 44212-3178

Phone

(330) 741-3407

Fax

(330) 741-4037

NPI assigned

Sep 7, 2019

Last updated

Sep 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew GrucellaNPI 1861596884

Title

Owner

Phone

(216) 571-0726

Specialties & licenses 1

Addresses

Other names 1

• Brunswick Optical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew David Grucella, OD

  • Optometrist
  • Brunswick, OH
  • NPI 1861596884
  NPD Authorized official

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1659920189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 WATERBURY RD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074817",
            "telephone_number": "216-571-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N CARPENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123178",
            "telephone_number": "330-741-3407",
            "fax_number": "330-741-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "GRUCELLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-571-0726"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brunswick Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brunswick Family Dental Practice Inc
• Brunswick Family Medicine, Inc
• Brunswick Health & Rehabilitation Center, Inc. (Brunswick Pointe Transitional Care)
• Brunswick Hills Township
• Brunswick Internal Medicine Inc.
• Brunswick Orthopedics Inc
• Kaitlyn Brianna Bublik
• Devin Rose Buffa, M.A. CCC-SLP
• Built to Bloom LLC
• Jaclyn Burdette

• Optometrist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.