Grand Spectacle Inc

LBN: Grand Spectacle Inc
Grand Spectacle Inc is an health care organization with primary practice located at 764 Grand Ave , Saint Paul MN 55105-3306. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Grand Spectacle Inc can be contacted via phone (651) 227-8198, or through Mcdonough, Kyle via phone (651) 227-8198.

Contact Information

Primary practice address
764 Grand Ave Saint Paul MN 55105-3306
Phone: (651) 227-8198
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdonough, Kyle ABOC
Phone: (651) 227-8198

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1346506581
LBN Legal business name Grand Spectacle Inc
DBA Doing business as
Authorized official Mcdonough, Kyle ABOC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers