Granville Inc.

NPI 1114015732

Information of Granville Inc.

The NPI 1114015732 is an Organization type. NPI No 1114015732 belongs to Granville Inc.. Granville Inc. specializes in Optician. is practising at 3234 W Lake St, Minneapolis, Minnesota 55416. You can also contact him via phone number (612) 926-2878.

Practice address located

  • 3234 W Lake St
  • Minneapolis, Minnesota 55416
  • (612) 926-2878
  • (612) 926-2878

Mailling address located

  • 3234 W Lake St
  • Minneapolis, Minnesota 55416
  • (612) 926-2878
  • (612) 920-4303
Granville Inc. is PECOS enrolled.
NPI No 1114015732
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No156FX1800XOpticiann/an/a
Yes152W00000XOptometristn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
MN4701190001Medicare NSCn/a
MNDG6255Medicare PINn/a
MNT39550Medicare UPINn/a
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