Kenneth Vernon Grattan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002307 Issued in MI

Practice address

400 Brown Rd
Auburn Hills, MI 48326-1305

Phone

(248) 648-0003

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346398112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7683 MACEDAY LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292631",
            "telephone_number": "248-623-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROWN RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261305",
            "telephone_number": "248-648-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTAN",
        "first_name": "KENNETH",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Gortat
• Jennifer Ann Goss, LBSW
• Grace T Gottman
• Vasilia Patricia Graboski, MS,LLP
• Elizabeth Jane Grahn, LMSW
• Great Lakes Comprehensive Care, LLC
• Great Lakes Regenerative Medicine, PLLC
• Great Lakes Vitality, LLC (Vital Care of Auburn Hills)
• Gregory M Okoniewski PLLC
• Kristyn Marie Gregory, D.O.

• Optometrist in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.