Grand Vision USA Retail Holding Corporation

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GRAND VISION USA RETAIL HOLDING CORPORATION

Practice address

15 N Buffalo Grove Rd
Buffalo Grove, IL 60089-1701

Phone

(309) 832-7038

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Maria Oliver Oliver

Title

VP. of Managaed Vision Care

Phone

(513) 292-4137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1669127833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891701",
            "telephone_number": "309-832-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VISION USA RETAIL HOLDING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "VP. OF MANAGAED VISION CARE",
        "authorized_official_telephone_number": "513-292-4137"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.