Organization
KENS UNITED OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LAWRENCE GROLEAU DO (OWNER/ DISPENSING OPTICIAN)
(904) 276-4611
Entity
Organization
Contact information
Practice address
225 BLANDING BLVD, ORANGE PARK, FL 32073-3357
(904) 276-4611
Mailing address
225 BLANDING BLVD, ORANGE PARK, FL 32073-3357
(904) 276-4611
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO3062
FL
Other
Enumeration date
08/17/2016
Last updated
05/11/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up