Willis Dennis Grajales Jr., O.D OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

9321T Issued in TX

Practice address

2532 Old Denton Rd
Carrollton, TX 75006-1444

Phone

(484) 288-0315

Fax

(972) 292-9969

NPI assigned

Mar 28, 2014

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Need Eye Exam PLLC

  • Corneal and Contact Management Optometrist
  • Carrollton, TX
  • NPI 1063117455
  Medicare reassignment NPD Authorized official
• Eye Check Vision

  • Corneal and Contact Management Optometrist
  • King of Prussia, PA
  • NPI 1679923031
  Authorized official Same address or phone

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1437576345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 QUAIL CREEK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686625",
            "telephone_number": "469-469-1338",
            "fax_number": "972-292-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 OLD DENTON RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061444",
            "telephone_number": "484-288-0315",
            "fax_number": "972-292-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJALES",
        "first_name": "WILLIS",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2023-12-15",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9321T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GR8 Smiles Orthodontics
• Grace to You Healthcare Services, Inc.
• Jenna Graef
• Phillip Madsen Graehl, M.D.
• Brian Howard Graf, DPT
• Sarah Grandberry
• Laura Ellen Grass, LPC
• Ingrid Britt Gray, LPC
• Great Smiles Dental & Orthodontic
• Great Trinity Hospice LLC

• Optometrist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.