NPIMap

Organization Active NPI

Grin Eyecare of Grandview, Inc

  • Ophthalmology Physician
  • Grandview, MO
National Provider Identifier
1053488106
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2004017834 Issued in MO
Legal business name
GRIN EYECARE OF GRANDVIEW, INC
Practice address
1024 Main St
Grandview, MO 64030-2456
Phone
(816) 761-6337
Fax
(816) 761-3564
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mrs. Debbie Ann Gordier
Title
Office Manager
Phone
(816) 761-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 2004017834 MO Primary

Addresses

Primary practice location

1024 Main St
Grandview, MO 64030-2456

Mailing address

1024 Main St
Grandview, MO 64030-2456
Phone (816) 761-6337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1053488106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302456",
            "telephone_number": "816-761-6337",
            "fax_number": "816-761-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302456",
            "telephone_number": "816-761-6337",
            "fax_number": "816-761-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIN EYECARE OF GRANDVIEW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "GORDIER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-761-6337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2004017834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.