OrganizationActive
Myrtle Grove Optical, LLC
NPI 1972716645 · Eyewear Supplier · Wilmington, NC
Myrtle Grove Optical, LLC is a Eyewear Supplier organization in Wilmington, NC (NPI 1972716645).
Provider details
- NPI number
- 1972716645
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Timothy Kelly, Owner(910) 762-2300
- License
- 0735 (NC)
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
1917 Tradd Ct
Wilmington, NC 28401-6638
Phone: (910) 762-2300
Street-level locationGet directions
Mailing address
1917 Tradd Ct
Wilmington, NC 28401-6638
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Myrtle Grove Optical, LLC's NPI number?
- Myrtle Grove Optical, LLC's National Provider Identifier (NPI) is 1972716645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myrtle Grove Optical, LLC?
- Myrtle Grove Optical, LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Myrtle Grove Optical, LLC located?
- Myrtle Grove Optical, LLC's practice location on file with NPPES is 1917 Tradd Ct, Wilmington, NC 28401-6638.
- What is Myrtle Grove Optical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Myrtle Grove Optical, LLC is (910) 762-2300.
- Who is the authorized official for Myrtle Grove Optical, LLC?
- The authorized official listed on Myrtle Grove Optical, LLC's NPPES record is Timothy Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myrtle Grove Optical, LLC's NPI active?
- Yes — Myrtle Grove Optical, LLC's NPI (1972716645) is active in the NPPES registry as of the last update on 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.