OrganizationActive
Myrtle Grove Optical, LLC
NPI 1972716645 · Eyewear Supplier · Wilmington, NC
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(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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.