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

Grand Lake Eyecare, LLC

Organization Optometrist · NPI 1487083697

Grand Lake Eyecare, LLC is an Optometrist in Fort Recovery, Ohio. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

130 N Wayne St
Fort Recovery, OH 45846-0645
Phone: (419) 375-5665
Fax: (419) 375-5667
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1487083697
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrand Lake Eyecare, LLC
Authorized official Brian Gerlach — Owner · (419) 586-3151
NPI enumeratedNovember 7, 2013
Last updated in NPPESNovember 7, 2013
Mailing addressPo Box 645, Fort Recovery, OH 45846-0645