Dr. Mary Grimwood & Associates, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009349 Issued in IL

Legal business name

DR. MARY GRIMWOOD & ASSOCIATES, LTD

Practice address

141 N Weber Rd
Bolingbrook, IL 60490-1504

Phone

(630) 378-4342

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mary Grimwood, O.D.NPI 1841350584

Title

Owner

Phone

(630) 378-4342

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary M. Grimwood, O.D.

  • Optometrist
  • Bolingbrook, IL
  • NPI 1841350584
  NPD (past) Authorized official

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1215360367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901504",
            "telephone_number": "630-378-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901504",
            "telephone_number": "630-378-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY GRIMWOOD & ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "GRIMWOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-378-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.