Grant Andrew Paul

Primary specialty

OptometristTaxonomy code 152W00000X

License

9068T Issued in CA

Practice address

963 W Arrow Hwy
San Dimas, CA 91773-2410

Phone

(909) 592-5666

NPI assigned

Nov 27, 2006

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

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

• Eyecare One

  • Preferred Provider Organization
  • San Dimas, CA
  • NPI 1538463450
  Authorized official Same address or phone

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1437225026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412079",
            "telephone_number": "562-260-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 W ARROW HWY",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732410",
            "telephone_number": "909-592-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GRANT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9068T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tushar B Patel, D.D.S.
• Vijay V Patel, M.D.
• Pathways Recovery Center 2, Inc.
• Swarnalipi Pattanaik, RN
• Christopher Scott Patterson, D.P.T.
• Jabril Pearson
• Corbett G Peek, MD
• Jessica Pelayo
• Alejandra Pena
• Lori Pendroff

• Optometrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.