Grasee, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1647 Issued in MD

Legal business name

GRASEE, INC.

Practice address

23191 Three Notch Rd
California, MD 20619-6024

Phone

(301) 863-6080

NPI assigned

Nov 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christine L McKimmie, O.D.NPI 1851458491

Title

President

Phone

(410) 586-9507

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine McKimmie, O.D.

  • Optometrist
  • California, MD
  • NPI 1851458491
  Medicare reassignment NPD Authorized official
• Jena Marie Jung, O.D.

  • Optometrist
  • California, MD
  • NPI 1871636472
  NPD (past)

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351987200000",
    "number": "1386998987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 WINDMILL DR",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23191 THREE NOTCH RD",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206196024",
            "telephone_number": "301-863-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-04",
        "last_updated": "2012-11-04",
        "status": "A",
        "authorized_official_last_name": "MCKIMMIE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-586-9507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ann M Gleason, RPH
• Rebecca Gonzalez
• Good Sleep Dental Therapy
• Justine J Goodyear
• Ryleigh Goss
• Lisa Gravatt, BCBA
• Michael Gray, MD
• Brianna Greenwell
• Kirstin Griffith
• Mia Griffiths

• Optometrist in California, MD
• Providers in California, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; 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.

Verify at the official NPI Registry.