Organization Active NPI

Michael B. Grindstaff, O.D., P.C.

Doing business as Optique Vision Center

  • Optometrist
  • Edmond, OK
National Provider Identifier
1760710776
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL B. GRINDSTAFF, O.D., P.C.
Doing business as
Optique Vision Center
Practice address
1482 S Bryant Ave
Edmond, OK 73034-5752
Phone
(405) 715-3937
Fax
(405) 715-3938
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Michael B. Grindstaff, O.D.
Title
Owner
Phone
(405) 715-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1482 S Bryant Ave
Edmond, OK 73034-5752

Mailing address

1482 S Bryant Ave
Edmond, OK 73034-5752
Phone (405) 715-3937

Other names 1

  • Optique Vision Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1760710776",
    "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": {
        "organization_name": "MICHAEL B. GRINDSTAFF, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "GRINDSTAFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-715-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optique Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.