Organization
GRO OPTICAL, LLC
Active
Other names
Grand Rapids Opticians, LLC, GRO Optical LLC, G.R.O. Optical, Grand Rapids Opticians, LLC, G.R.O. Optical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CLARK (CEO)
(636) 227-2600
Entity
Organization
Contact information
Practice address
705 S GREENVILLE WEST DR STE 201, GREENVILLE, MI 48838-3531
(616) 754-5667
(616) 754-3071
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 942-1350
(616) 949-1670
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540D105120
BCBS OF MI
MI
Enumeration date
03/07/2007
Last updated
03/09/2023
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