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

Myrtle Grove Optical, LLC

Organization Eyewear Supplier · NPI 1972716645

Myrtle Grove Optical, LLC is an Eyewear Supplier in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1917 Tradd Ct
Wilmington, NC 28401-6638
Phone: (910) 762-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 0735 (NC)

Record details

NPI number1972716645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kelly — Owner · (910) 762-2300
NPI enumeratedMay 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1917 Tradd Ct, Wilmington, NC 28401-6638

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