Organization Name: | MICHAEL B. GRINDSTAFF, O.D., P.C. |
NPI Number: | 1760710776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL B. GRINDSTAFF (OWNER) |
Mailing Address: | 1482 S Bryant Ave Edmond |
State: | OK US |
Postal Code: | 730345752 |
Phone Number: | 4057153937 |
Fax Number: | 4057153938 |
NPI Enumeration Date: | 12/02/2009 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |