Organization
GRAND VISION USA RETAIL HOLDING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA OLIVER OLIVER (VP. OF MANAGAED VISION CARE)
(513) 292-4137
Entity
Organization
Contact information
Practice address
15 N BUFFALO GROVE RD, BUFFALO GROVE, IL 60089-1701
(309) 832-7038
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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