Active NPI
Grant Vision Care Inc.
- Optometrist
- Cuyahoga Falls, OH
National Provider Identifier
1285891606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3533T464
- Legal business name
- GRANT VISION CARE INC.
- Practice address
- 1520 Portage Trail
Cuyahoga Falls, OH 44223-2163 - Phone
- (330) 923-9951
- Fax
- (330) 923-6419
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Drusilla Haskins Grant, OD
- Title
- Owner
- Phone
- (330) 923-9951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3533T464 | OH | Primary |
Addresses
Primary practice location
1520 Portage Trail
Cuyahoga Falls, OH 44223-2163
Mailing address
1520 Portage TRL
Ste 2
Cuyahoga Falls, OH 44223-2121
Phone (330) 923-9951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3533T464 | Other | OH | STATE OF OHIO LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1520 Portage Trl
Ste 2
Cuyahoga Falls, OH 44223
Phone (330) 923-9951
1520 Portage Trl
Cuyahoga Fls, OH 44223
Phone (330) 422-9999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cuyahoga Falls, OH
- NPI 1922165521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366675200000",
"number": "1285891606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 PORTAGE TRL",
"address_2": "STE 2",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442232121",
"telephone_number": "330-923-9951",
"fax_number": "330-923-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 PORTAGE TRAIL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442232163",
"telephone_number": "330-923-9951",
"fax_number": "330-923-6419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT VISION CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2013-04-23",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "DRUSILLA",
"authorized_official_middle_name": "HASKINS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-923-9951",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "3533T464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO LICENSE NUMBER",
"identifier": "3533T464",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.