Matt L Grantham is a Optometrist in Wilburton, Oklahoma. Matt L Grantham practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Matt L Grantham is 1255487393. The last update date is 2009-02-06.
Matt L Grantham's current location address is 218 W Main St, Wilburton, Oklahoma. You can contact this provider via phone number 9184653780 and fax number 9184653313. The mailing address for Matt L Grantham is 218 W Main St, Wilburton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matt L Grantham |
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Address | 218 W Main St, Wilburton, Oklahoma |
Phone Number | 9184653780 |
Fax Number | 9184653313 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1255487393 |
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Provider Enumeration Date | 2007-01-25 |
Last Updated Date | 2009-02-06 |
Provider Mailing Address Detail
Address | 218 W Main St |
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City | Wilburton |
State | Oklahoma (OK) |
Post Code | 745784046 |
Phone Number | 9184653780 |
Fax Number | 9184653313 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | XXXX |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200090590A | OK | -- | |
100851340A | OK | -- | |
100851340B | OK | -- | |
200090590B | OK | -- |
Post Comment/ Review Below
What is the Matt L Grantham's 1255487393?
The Matt L Grantham's NPI (National Provider Identifier) Number is 1255487393. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Matt L Grantham is physically located?
The Matt L Grantham is physically situated at the following address: 218 W Main St, Wilburton, OK, 745784046.
What is the Matt L Grantham's specialty and taxonomy code?
The Matt L Grantham's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255487393 to Matt L Grantham?
The Matt L Grantham received its 1255487393 assignment from the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information related to Matt L Grantham most recently updated or refreshed?
The details pertaining to the Matt L Grantham, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-06.