Michael B Grindstaff, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2422 Issued in OK

Practice address

1482 S Bryant Ave
Edmond, OK 73034-5752

Phone

(405) 715-3937

Fax

(405) 715-3938

NPI assigned

Aug 7, 2006

Last updated

Dec 28, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

• Eye Care for Durango, LLC

  • Optometrist
  • Durango, CO
  • NPI 1740471622
  Medicare reassignment NPD
• Michael B. Grindstaff, O.D., P.C.

  dba Optique Vision Center

  • Optometrist
  • Edmond, OK
  • NPI 1760710776
  Authorized official Same address or phone
• Lindsey James PLLC

  • Optometrist
  • Edmond, OK
  • NPI 1467919787
  NPD
• DRS Tate & Tate Optometrists Inc.

  • Eyewear Supplier
  • Oklahoma City, OK
  • NPI 1558555268

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1649289737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345752",
            "telephone_number": "405-715-3937",
            "fax_number": "405-715-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345752",
            "telephone_number": "405-715-3937",
            "fax_number": "405-715-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelenn Blair Griffin
• Donna Marie Griffith, P.T.
• Rachel Griffith, M.S., CCC-SLP
• Tessia Griffith
• Grimmett Ventures, Inc.
• Willie Grissom
• Sarah Gritts
• Jared Grob, MA
• Lillianne Grob
• Lisa Grossenbacher, LCSW

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.