Individual provider Active NPI

Grant William Jones, O.D.

  • Optometrist
  • Torrington, WY
National Provider Identifier
1396841888
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
247T Issued in WY
Practice address
1418 E M St
Torrington, WY 82240-3533
Phone
(307) 532-4114
Fax
(307) 532-7658
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 247T WY Primary

Addresses

Primary practice location

1418 E M St
Torrington, WY 82240-3533

Mailing address

1418 E M St
Torrington, WY 82240-3533
Phone (307) 532-4114

Other identifiers 1

IdentifierTypeStateIssuer
11293100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000732 WY Practitioner - Optometry 4981774973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrington Vision Clinic, P.C.Group PAC ID 1456333087, 2 clinicians

Practice addresses (Care Compare)

1418 E M St
Torrington Vision Clinic
Torrington, WY 82240-3520
Phone (307) 532-4114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Torrington Vision Clinic, P.C. Optometrist CurrentSince Aug 18, 1997 Accepting new patients

Locations

1418 E M St
Torrington, WY 82240
Phone (307) 532-4114

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1396841888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E M ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403533",
            "telephone_number": "307-532-4114",
            "fax_number": "307-532-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E M ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403533",
            "telephone_number": "307-532-4114",
            "fax_number": "307-532-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GRANT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "247T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11293100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.