1. Home
  2. Directory
  3. Oklahoma
  4. Grove
  5. Specialist
  6. NPI Profile

GRAND LAKE EYE CARE, PC
NPI 1073649844
Specialist in Grove, OK

Active since February 26, 2007
1120 NEO LOOP, GROVE, OK 74344(918) 787-2020(918) 787-6002 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Lake Eye Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND LAKE EYE CARE, PC (NPI 1073649844) is a healthcare organization registered as a specialist in Grove, Oklahoma and active in the NPI registry since February 2007. The organization lists Kevin K Toller, President, as its authorized official.

NPPES Registry Identity

NPI1073649844
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAND LAKE EYE CARE, PC
Location Address1120 NEO LOOPGrove, OK 74344
Mailing AddressPo Box 450400Grove, OK 74345 · (918) 787-2020 · Fax (918) 787-6002
Phone(918) 787-2020
Fax(918) 787-6002
Organization SubpartNo
Authorized OfficialKevin K TollerPresident · (918) 787-2020
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 18, 2010
✔ NPI 1073649844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 21196
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1120 NEO LOOP, Grove, OK 74344
Open in Google Maps ↗

Other Identifiers 6

Medicare UPING95952OK
Medicaid100138230AOK
Other180037253OK · Railroad Medicare
Medicaid200216660AOK
Other=========002OK · Bcbs
Medicare PIN243510200OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD SHEPHERD HOSPICE INC
Hospice Care, Community Based
1120 NEO LOOP
GROVE, OK 74344
Delaware County (918) 786-6182
DR. KEVIN KEITH TOLLER MD
Ophthalmology
1120 NEO LOOP
GROVE, OK 74344
Delaware County (918) 787-2020
GRAND LAKE OPTICAL, LLC
Eyewear Supplier
1120 NEO LOOP
GROVE, OK 74344
Delaware County (918) 787-2121
JOHN R SMITHSON JR. MD
Neurological Surgery
1120 NEO LOOP
GROVE, OK 74344
Delaware County (918) 786-9568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Lake Eye Care, PC's NPI number?

The NPI number for Grand Lake Eye Care, PC is 1073649844. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Grand Lake Eye Care, PC located?

Grand Lake Eye Care, PC is located at 1120 Neo Loop, Grove, OK 74344. The listed phone number is (918) 787-2020.

What is Grand Lake Eye Care, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Grand Lake Eye Care, PC was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.