Organization
GRO OPTICAL, LLC
Active
Other names
Michigan Optical, Michigan Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CLARK (CEO)
(636) 227-2600
Entity
Organization
Contact information
Practice address
511 WILSON AVE NW STE E, GRAND RAPIDS, MI 49534-7986
(616) 301-8663
Mailing address
511 WILSON AVE NW, GRAND RAPIDS, MI 49534-7986
(616) 301-8663
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
04/10/2023
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