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MYRTLE GROVE OPTICAL, LLC
NPI 1972716645
Eyewear Supplier in Wilmington, NC

Active since May 08, 2007
1917 TRADD CT, WILMINGTON, NC 28401(910) 762-2300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myrtle Grove Optical, Llc NPPES

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

MYRTLE GROVE OPTICAL, LLC (NPI 1972716645) is a healthcare organization registered as an eyewear supplier in Wilmington, North Carolina and active in the NPI registry since May 2007. The organization lists Timothy G. Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1972716645
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameMYRTLE GROVE OPTICAL, LLC
Location Address1917 TRADD CTWilmington, NC 28401-6638
Mailing Address1917 Tradd CtWilmington, NC 28401-6638 · (910) 762-2300
Phone(910) 762-2300
Organization SubpartNo
Authorized OfficialTimothy G. KellyOwner · (910) 762-2300
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972716645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NC · 0735
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1917 TRADD CT, Wilmington, NC 28401
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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 Myrtle Grove Optical, LLC's NPI number?

The NPI number for Myrtle Grove Optical, LLC is 1972716645. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Myrtle Grove Optical, LLC located?

Myrtle Grove Optical, LLC is located at 1917 Tradd Ct, Wilmington, NC 28401. The listed phone number is (910) 762-2300.

What is Myrtle Grove Optical, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Myrtle Grove Optical, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.