OrganizationActive
Grand Lake Optical, LLC
NPI 1649383191 · Eyewear Supplier · Grove, OK
Grand Lake Optical, LLC is a Eyewear Supplier organization in Grove, OK (NPI 1649383191).
Provider details
- NPI number
- 1649383191
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kevin Toller, President(918) 787-2020
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 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) 787-2121
Fax: (918) 787-6002
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 451627
Grove, OK 74345
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2010-11-18
Frequently asked questions
- What is Grand Lake Optical, LLC's NPI number?
- Grand Lake Optical, LLC's National Provider Identifier (NPI) is 1649383191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Optical, LLC?
- Grand Lake Optical, LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Grand Lake Optical, LLC located?
- Grand Lake Optical, LLC's practice location on file with NPPES is 1120 Neo Loop, Grove, OK 74344.
- What is Grand Lake Optical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Optical, LLC is (918) 787-2121.
- Who is the authorized official for Grand Lake Optical, LLC?
- The authorized official listed on Grand Lake Optical, LLC'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 Optical, LLC's NPI active?
- Yes — Grand Lake Optical, LLC's NPI (1649383191) 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.