Grand Lake Eyecare LLC
NPI 1548301690 · Optometrist · Celina, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Lake Eyecare LLC is a Optometrist organization in Celina, OH (NPI 1548301690).
Provider details
- NPI number
- 1548301690
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kenneth Sandker, Partner(419) 586-3151
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-10
- Last updated
- 2008-02-05
Frequently asked questions
- What is Grand Lake Eyecare LLC's NPI number?
- Grand Lake Eyecare LLC's National Provider Identifier (NPI) is 1548301690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Eyecare LLC?
- Grand Lake Eyecare LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Grand Lake Eyecare LLC located?
- Grand Lake Eyecare LLC's practice location on file with NPPES is 1025 Grand Lake Rd, Celina, OH 45822-1309.
- What is Grand Lake Eyecare LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Eyecare LLC is (419) 586-3151.
- Does Grand Lake Eyecare LLC accept Medicare?
- Grand Lake Eyecare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Lake Eyecare LLC?
- The authorized official listed on Grand Lake Eyecare LLC's NPPES record is Kenneth Sandker, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Eyecare LLC's NPI active?
- Yes — Grand Lake Eyecare LLC's NPI (1548301690) is active in the NPPES registry as of the last update on 2008-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.