Mary Grimwood & Assoc LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009349 Issued in IL

Legal business name

MARY GRIMWOOD & ASSOC LTD

Practice address

141 N Weber Rd
Bolingbrook, IL 60490-1504

Phone

(630) 378-4342

Fax

(630) 378-4147

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mary M. Grimwood, O.D.

Title

Owner

Phone

(630) 378-4342

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary M. Grimwood & Associates Doing business as

Locations

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1780814921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901504",
            "telephone_number": "630-378-4342",
            "fax_number": "630-378-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901504",
            "telephone_number": "630-378-4342",
            "fax_number": "630-378-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GRIMWOOD & ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "GRIMWOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-378-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mary M. Grimwood & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Goldstein, PC
• Maria Medical LLC
• Maria Nida V. Barino MD LTD
• Patricia Martin, PT
• Ana Martinez-Ruiz, LMT
• Lindsay Elizabeth Maskel, FNP
• Kimberly Lynn Mason, RSA
• Cheryl Mathew, BCBA
• Matr Therapeutics LLC
• Daphne Maxwell, D.C.

• Optometrist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.