Michael B Grindstaff, OD Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1649289737
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2422 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-07
- Last updated
- 2011-12-28
Practice location
1482 S Bryant Ave
Edmond, OK 73034-5752
(405) 715-3937