NPI Lens

Granite City Vision, Inc.

NPI 1174756902ActiveOrganization· Preferred Provider Organization· Granite City, IL

Preferred Provider Organization in Granite City, Illinois, registered in NPPES in August 2009. The authorized official on file is Byron W. Wright, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1174756902
StatusActive
Entity typeOrganization
NPI issuedAug 27, 2009
Last updated in NPPESAug 26, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——
Optometrist152W00000X——
Technician/Technologist, Contact Lens Fitter156FC0801X——
Technician/Technologist, Optician156FX1800X——
Point of Service305S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years