OrganizationActive
Grand Spectacle Inc
NPI 1003935867 · Optician · Saint Paul, MN
Provider details
- NPI number
- 1003935867
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Authorized official
- Matthew Mcdonough, Certified Optician
Practice location
764 Grand Ave
Saint Paul, MN 55105-3306
Phone: (651) 227-8198
Fax: (651) 227-8198
Mailing address
764 Grand Ave
Saint Paul, MN 55105-3306
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.