Brunswick Optical
Organization Active NPI Optometrist · Brunswick, OH
NPI 1659920189 · NPPES record last updated Sep 8, 2019
Key facts
- NPI
- 1659920189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Matthew Grucella
- Title
- Owner
- Phone
- (216) 571-0726
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1333 N Carpenter Rd
Brunswick, OH 44212-3178
Mailing address
1486 Waterbury Rd
Lakewood, OH 44107-4817
Phone (216) 571-0726
Other names
- Brunswick Optical
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.