Annette Renae Grimshaw, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3109 Issued in MN

Practice address

517 1St Ave S
Saint James, MN 56081-1727

Phone

(507) 375-4941

Fax

(507) 375-3610

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ditto & Musick PLLC

  • Optometrist
  • Nicholasville, KY
  • NPI 1154794352

  KY, Optometrist

  Medicare reassignment Care Compare group NPD
• Hollywood Family Eye Care Inc

  • Optician
  • Steubenville, OH
  • NPI 1902190762

  OH

  Medicare reassignment NPD
• Brook McFarlin Chiropractic LLC

  • Chiropractor
  • Williston, ND
  • NPI 1861057432
  NPD

Specialty

Optometry

Education

Indiana University - School of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Ditto and Musick PLLC 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1104949338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811727",
            "telephone_number": "507-375-4941",
            "fax_number": "507-375-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811727",
            "telephone_number": "507-375-4941",
            "fax_number": "507-375-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "ANNETTE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3109",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MN",
            "license": "3109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma L Garza
• Paige Marie Gernes-Sanchez Morales, PA-C
• Brigette Glienke
• Samantha Soaad Glotfelty, MD
• Yvonne Myrna Gratz, NURSE PRACTITIONER
• David J Haler, D.C.
• Joseph Henry Hamm, MD
• Craig Foster Hartman, D.C.
• Ayan Hashi
• James Frederic Hermoe, D.C.

• All providers in Saint James, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.