Grisham Eye Associates PC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

0039 Issued in OK

Legal business name

GRISHAM EYE ASSOCIATES PC

Practice address

3615 SE Kentucky St
Bartlesville, OK 74006-2324

Phone

(918) 333-2020

Fax

(918) 335-3253

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey William Grisham, MD

Title

President

Phone

(918) 333-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRISHAM EYE SURGERY CENTER Doing business as

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1710094149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062324",
            "telephone_number": "918-333-2020",
            "fax_number": "918-335-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062324",
            "telephone_number": "918-333-2020",
            "fax_number": "918-335-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISHAM EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-333-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OK",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100740380B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISHAM EYE SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandler Dean Griffin, MSW
• Ronni Gayle Grigsby, BA, MS
• Sammi Jo Grimes, APRN
• Krista Kay Grinstead, R.D.
• Grisham Eye Associates PC
• Jeffrey William Grisham, MD
• Cheryl Grisier, PTA
• Pamela L. Grossman, PH.D., M.S.
• Mary Elizabeth Grove, PT
• Laurel Guild

• Ophthalmologic Surgery Clinic/Center in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Ophthalmologic Surgery Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.