Organization
GRANDE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL ALLEN CRITTENDEN OPTICIAN (PRESIDENT)
(956) 550-9600
Entity
Organization
Contact information
Practice address
2115 BOCA CHICA BLVD, SUITE B, BROWNSVILLE, TX 78521-2227
(956) 550-9600
(956) 550-9697
Mailing address
2115 BOCA CHICA BLVD, SUITE B, BROWNSVILLE, TX 78521-2227
(956) 550-9600
(956) 550-9697
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DR 3967
TX
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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