Organization Active NPI

Jennifer M. Grin, MD, PC

  • Optometrist
  • Aurora, CO
National Provider Identifier
1043408669
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
39395 Issued in CO
Legal business name
JENNIFER M. GRIN, MD, PC
Practice address
1411 S Potomac St Ste 140
Aurora, CO 80012-4537
Phone
(303) 337-3937
Fax
(303) 337-2272
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer M Grin, MD
Title
Owner/Physician
Phone
(303) 337-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 39395 CO Primary

Addresses

Primary practice location

1411 S Potomac St Ste 140
Aurora, CO 80012-4537

Mailing address

1411 S Potomac St Ste 140
Aurora, CO 80012-4537
Phone (303) 337-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1043408669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124537",
            "telephone_number": "303-337-3937",
            "fax_number": "303-337-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124537",
            "telephone_number": "303-337-3937",
            "fax_number": "303-337-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. GRIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "GRIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-337-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "39395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.