Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Eye Care, PC

Organization Specialist · NPI 1073649844

Grand Lake Eye Care, PC provides Specialist services in Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Neo Loop
Grove, OK 74344 Not confirmed with CMS for 15 years — call before visiting
Phone: (918) 787-2020
Fax: (918) 787-6002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 21196 (OK)

Record details

NPI number1073649844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Toller — President · (918) 787-2020
NPI enumeratedFebruary 26, 2007
Last updated in NPPESNovember 18, 2010
Mailing addressPo Box 450400, Grove, OK 74345

Other providers in Grove