Organization
BRUNSWICK OPTICAL
Active
Other names
Brunswick Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GRUCELLA (OWNER)
(216) 571-0726
Entity
Organization
Contact information
Practice address
1333 N CARPENTER RD, BRUNSWICK, OH 44212-3178
(330) 741-3407
(330) 741-4037
Mailing address
1486 WATERBURY RD, LAKEWOOD, OH 44107-4817
(216) 571-0726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/08/2019
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