Matt L Grantham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

XXXX Issued in OK

Practice address

101 Smith Ave Ste 2
Poteau, OK 74953-2613

Phone

(918) 647-9283

Fax

(918) 649-0878

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Matt Grantham, OD, PC

  dba Grantham Eye Clinic

  • Optometrist
  • Poteau, OK
  • NPI 1124174966
  Medicare reassignment NPD
• Matt Grantham, OD, PC

  dba Grantham Eye Clinic

  • Optometrist
  • Poteau, OK
  • NPI 1477637643
  NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1255487393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SMITH AVE STE 2",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532613",
            "telephone_number": "918-647-9283",
            "fax_number": "918-649-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SMITH AVE STE 2",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532613",
            "telephone_number": "918-647-9283",
            "fax_number": "918-649-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "MATT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "XXXX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090590A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100851340B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100851340A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090590B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Gragg
• Aubrey Graham
• Jason Tyler Gordon Graham, NP
• Jayni Ellen Graham, LPN
• Michele A Graham, B.S. PSYCHOLOGY
• Amy Graves
• Christy Gray, PTA
• Jessica Lane Gray
• Gregory Medical Clinic LLC
• Jennifer Griffin, SLPA

• Optometrist in Poteau, OK
• Providers in Poteau, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.