Whalio Doctors

NPI 1174756902

Granite City Vision, INC.

Organisation Preferred Provider Organization Granite City, IL

Practice location

Address
4182 Nameoki Rd., Granite City, IL 62040-2330
Phone
(618) 876-2438
Fax
(618) 876-2440

Authorised official

Name
Byron W. Wright
Title
Owner
Phone
(618) 339-8951

Registered specialties (5)

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
Contact Lens Fitter
Eye and Vision Services Providers Taxonomy 156FC0801X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X
Point of Service
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1174756902
Entity type
Organization
NPI issued
27 Aug 2009
Record last updated
26 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.