| NPI | 1629109343 |
|---|---|
| Former Legal Business Name | GRAND RAPIDS OPTICIANS, LLC |
| Entity Type | Organization |
| Authorized Contact | KELLY MCCRANN CEO 626-227-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-02-15 |