Dana Alan Grist in Johnson City - Optometrist
Dana Alan Grist - NPI 1033148135
Dana Alan Grist is a Optometrist in Johnson City, Tennessee. Dana Alan Grist practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dana Alan Grist is 1033148135. The last update date is 2012-07-18.
Dana Alan Grist's current location address is 1207 N Roan St, Johnson City, Tennessee. You can contact this provider via phone number 4239281010 and fax number 4239289090. The mailing address for Dana Alan Grist is 1207 N Roan St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Alan Grist |
|---|---|
| Address | 1207 N Roan St, Johnson City, Tennessee |
| Phone Number | 4239281010 |
| Fax Number | 4239289090 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1033148135 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2012-07-18 |
Provider Mailing Address Detail
| Address | 1207 N Roan St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376013974 |
| Phone Number | 4239281010 |
| Fax Number | 4239289090 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT675 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3594233 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dana Alan Grist by the Centers for Medicare & Medicaid Services?
The Dana Alan Grist has been assigned the NPI (National Provider Identifier) 1033148135. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dana Alan Grist's physical address?
The Dana Alan Grist is physically located at 1207 N Roan St, in the city of Johnson City, TN, with the postal code 376013974.
What is Dana Alan Grist's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dana Alan Grist's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033148135 to Dana Alan Grist?
The Dana Alan Grist received its 1033148135 assignment from the Centers for Medicare & Medicaid Services on 2006-07-01.
When was the information related to Dana Alan Grist most recently updated or refreshed?
The details pertaining to the Dana Alan Grist, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-18.
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