Organization Active NPI

Grisham Eye Associates PC

  • Ophthalmology Physician
  • Bartlesville, OK
National Provider Identifier
1265546733
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GRISHAM EYE ASSOCIATES PC
Practice address
3615 SE Kentucky St
Bartlesville, OK 74006-2324
Phone
(918) 333-2020
Fax
(918) 335-3253
NPI assigned
Aug 19, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Jeffrey William Grisham, MDNPI 1871598011
Title
President
Phone
(918) 333-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

3615 SE Kentucky St
Bartlesville, OK 74006-2324

Mailing address

3615 SE Kentucky St
Bartlesville, OK 74006-2324
Phone (918) 333-2020

National Provider Directory

National Provider Directory

Locations

301 W 11th St
Coffeyville, KS 67337
Phone (620) 251-1540

803 Barker Dr
Oswego, KS 67356
Phone (316) 795-4600

803 Barker Dr
Oswego, KS 67356
Phone (620) 795-4600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265546733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062324",
            "telephone_number": "918-333-2020",
            "fax_number": "918-335-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062324",
            "telephone_number": "918-333-2020",
            "fax_number": "918-335-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISHAM EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-333-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.