Active NPI
Midland Eye Network,LLP
- Corneal and Contact Management Optometrist
- Midland, TX
National Provider Identifier
1437387834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3040TG
- Legal business name
- MIDLAND EYE NETWORK,LLP
- Doing business as
- Laser Network
- Practice address
- 4109 N Midland Dr
Midland, TX 79707-3500 - Phone
- (432) 559-2227
- NPI assigned
- Jun 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff Grigsby, O.D.
- Title
- Optometrist
- Phone
- (432) 694-5259
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3040TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2219TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 3317TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 3896TG | TX |
Addresses
Primary practice location
4109 N Midland Dr
Midland, TX 79707-3500
Mailing address
4109 N Midland Dr
Midland, TX 79707-3500
Phone (432) 559-2227
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2219TG | Other | TX | OPTOMETRY LICENSE 2 COOK |
| 3317TG | Other | TX | OPTOMETRY LICENSE 3 NEELY |
| 3040TG | Other | TX | OPTOMETRY LICENSE |
| 3896TG | Other | TX | OPTOMETRY LICENSE 4 SHEETS |
Other names 1
- Laser Network
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1437387834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 N MIDLAND DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073500",
"telephone_number": "432-559-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 N MIDLAND DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073500",
"telephone_number": "432-559-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLAND EYE NETWORK,LLP",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "GRIGSBY",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "432-694-5259",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "3040TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "2219TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "3317TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "3896TG",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE 2 COOK",
"identifier": "2219TG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE 3 NEELY",
"identifier": "3317TG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "3040TG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE 4 SHEETS",
"identifier": "3896TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laser Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.