Grand Lake Eyecare Llc
Optometrist
1025 Grand Lake Rd, Celina
Ohio, 45822-1309
419-586-3151 419-586-1059
Grand Lake Eyecare Llc is a Optometrist in Celina, Ohio. It is located at 1025 Grand Lake Rd, Celina and it's customer support contact number is 419-586-3151. The authorized person of Grand Lake Eyecare Llc is Dr. Kenneth J Sandker, OD who is Partner of this DME and his contact number is 419-586-3151. Grand Lake Eyecare Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Grand Lake Eyecare Llc is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
DME Supplier Details:
Grand Lake Eyecare Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Grand Lake Eyecare Llc |
| Type: | Optometrist |
| Location: | 1025 Grand Lake Rd, Celina,
Ohio, 45822-1309 |
| Phone: | 419-586-3151 |
| Fax: | 419-586-1059 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth J Sandker |
| Credentials: | OD |
| Position: | Partner |
| Contact Number: | 419-586-3151 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1548301690 |
| NPI Enumeration Date: | 10 Feb, 2007 |
| NPI Last Update On: | 05 Feb, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Lake Eyecare Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Eyewear Supplier (equipment, Not The Service) | | | Secondary | |
Medicare Enrollment:
Grand Lake Eyecare Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8527016278 | O20050110000237 | Grand Lake Eyecare Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 8527016278 | O20100930083957 | Grand Lake Eyecare Llc | DME SUPPLIER - PHYSICIAN - OPTOMETRIST |
Products Available:
Grand Lake Eyecare Llc has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Contact Lenses | • Prosthetic Lenses: Conventional Eyeglasses |
| • Prosthetic Lenses: Prosthetic Cataract Lenses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 377,
Celina, Ohio |
| Zip: | 45822-0377 |
| Phone Number: | 419-586-3151 |
| Fax Number: | 419-586-1059 |
Patients can reach Grand Lake Eyecare Llc at
1025 Grand Lake Rd, Celina, Ohio or can
call on customer care at 419-586-3151.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.