OrganizationActive
Grand Lake Eye Care, PC
NPI 1073649844 · Specialist · Grove, OK
Grand Lake Eye Care, PC is a Specialist organization in Grove, OK (NPI 1073649844).
Provider details
- NPI number
- 1073649844
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Toller, President(918) 787-2020
- License
- 21196 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 Neo Loop
Grove, OK 74344
Phone: (918) 787-2020
Fax: (918) 787-6002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 450400
Grove, OK 74345
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2010-11-18
Frequently asked questions
- What is Grand Lake Eye Care, PC's NPI number?
- Grand Lake Eye Care, PC's National Provider Identifier (NPI) is 1073649844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Eye Care, PC?
- Grand Lake Eye Care, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Grand Lake Eye Care, PC located?
- Grand Lake Eye Care, PC's practice location on file with NPPES is 1120 Neo Loop, Grove, OK 74344.
- What is Grand Lake Eye Care, PC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Eye Care, PC is (918) 787-2020.
- Who is the authorized official for Grand Lake Eye Care, PC?
- The authorized official listed on Grand Lake Eye Care, PC's NPPES record is Kevin Toller, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Eye Care, PC's NPI active?
- Yes — Grand Lake Eye Care, PC's NPI (1073649844) is active in the NPPES registry as of the last update on 2010-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.