Grace Cortes-Stefanovic, OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

60530393 Issued in WA

Legal business name

GRACE CORTES-STEFANOVIC, OD PLLC

Doing business as

GrandView Optometry

Practice address

16616 Twin Lakes Ave
Marysville, WA 98271-4701

Phone

(360) 652-4543

Fax

(360) 652-4544

NPI assigned

Mar 1, 2016

Last updated

Mar 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grace Cortes-Stefanovic, ODNPI 1871790212

Title

Owner

Phone

(951) 966-9189

Specialties & licenses 1

Addresses

Other names 1

• GrandView Optometry Doing business as

Practitioners 1

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.

• Grace J. Cortes-Stefanovic, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1871790212
  Authorized official Same address or phone

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1366802571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16616 TWIN LAKES AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714701",
            "telephone_number": "360-652-4543",
            "fax_number": "360-652-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16616 TWIN LAKES AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714701",
            "telephone_number": "360-652-4543",
            "fax_number": "360-652-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CORTES-STEFANOVIC, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "CORTES-STEFANOVIC",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-966-9189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60530393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GrandView Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Marie Gordon, LMP
• Gregory Joseph Gosch, D.D.S.
• Mindy Graber, M.S., LMHC
• Grace Bible Church of Marysville (Grace Academy)
• Grace Connection Services
• Grace Health Clinic and Urgent Care LLC
• Grace Health Clinic and Urgent Care LLC
• Tracey Grady, LMHC
• Susy Granados, MA60876400
• Kerianne Marie Grant

• Optometrist in Marysville, WA
• Providers in Marysville, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.