Individual provider Active NPI

Laura Grant, MD

  • Ophthalmology Physician
  • Tempe, AZ
National Provider Identifier
1194174847
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301503028 Issued in MI
Practice address
3200 S Country Club Way
Tempe, AZ 85282-4054
Phone
(480) 360-2020
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301503028 MI Primary

Addresses

Primary practice location

3200 S Country Club Way
Tempe, AZ 85282-4054

Mailing address

3200 S Country Club Way
Tempe, AZ 85282-4054
Phone (480) 360-2020

Other names 1

  • Laura Hahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200825003024 MI Practitioner - Ophthalmology 4082031810 Reassigns benefits to 1 organization
I20231004003157 AZ Practitioner - Ophthalmology 4082031810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Arizona PLLCGroup PAC ID 3870835044, 11 clinicians

Practice addresses (Care Compare)

2979 W Elliot Rd
Suite 1
Chandler, AZ 85224-1641
Phone (602) 257-8280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70775AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Arizona PLLC Ophthalmology CurrentSince Sep 21, 2025 Accepting new patients
Millman-Derr Center for Eye Care, P.C. Ophthalmology CurrentSince Aug 17, 2020 Accepting new patients
Millman-Derr Center for Eye Care, P.C. CurrentSince Aug 17, 2020 Accepting new patients
Warren H Heller MD Ophthalmology Past Accepting new patients
Matthew R Sullivan OD PastSince Sep 13, 2023 Accepting new patients

Locations

2979 W Elliot Rd
Ste 1
Chandler, AZ 85224
Phone (480) 898-3937

3321 E Bell Rd
#B12
Phoenix, AZ 85032
Phone 6022578280 ext. 2

515 W Buckeye Rd
Ste 104
Phoenix, AZ 85003
Phone (602) 207-8196

17900 23 Mile Rd
Ste 100
Macomb, MI 48044
Phone (248) 852-3636

375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894

Interoperability endpoints

  • Direct secure messaging: lgrant@osp.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1194174847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S COUNTRY CLUB WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824054",
            "telephone_number": "480-360-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S COUNTRY CLUB WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824054",
            "telephone_number": "480-360-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301503028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HAHN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.