Grayson Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

23648 Issued in MS

Legal business name

GRAYSON OPTICAL INC.

Practice address

2021 24TH Ave.
Meridian, MS 39301

Phone

(601) 693-6374

Fax

(601) 693-5053

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Allen Grayson Jr.

Title

Optician

Phone

(601) 693-6374

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548385602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 24TH AVE.",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-693-6374",
            "fax_number": "601-693-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 24TH AVE.",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-693-6374",
            "fax_number": "601-693-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "601-693-6374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MS",
            "license": "23648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880078",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameshia Dachelle Graves, PHARMD.
• Jayden Graves, PTA
• Kaitlyn Gray
• Leslie B. Gray, M.D.
• Talmadge Rhodes Gray, PMHNP-BC
• Nacara S Grayson, APRN-FNP-C
• Greater Meridian Health Clinic, Inc (GMHC Mobile Access Unit 2)
• Greater Meridian Health Clinic, Inc (Greater Meridian Health Clinic, Inc. Hosp)
• Greater Meridian Health Clinic, Inc.
• Greater Meridian Health Clinic, Inc. (GMHC, INC./MPSD G W Carver Community School Base Clinic)

• Optician in Meridian, MS
• Providers in Meridian, MS by specialty
• Optician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.