Active NPI
Milton B Grin MD PA
Doing business as Grin Eye Care
- Ophthalmology Physician
- Olathe, KS
National Provider Identifier
1821063769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 04 22448
- Legal business name
- MILTON B GRIN MD PA
- Doing business as
- Grin Eye Care
- Practice address
- 21020 W 151St St
Olathe, KS 66061-7200 - Phone
- (913) 829-5511
- Fax
- (913) 829-5571
- NPI assigned
- Feb 22, 2006
- Last updated
- Apr 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Milton B Grin, MD
- Title
- Physician Owner
- Phone
- (913) 829-5511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 04 22448 | KS | Primary |
| Ophthalmology Physician | 207W00000X | R8F92 | MO |
Addresses
Primary practice location
21020 W 151St St
Olathe, KS 66061-7200
Mailing address
PO Box 219241
Kansas City, MO 64121-9241
Phone (913) 829-5511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI8603 | Other | KS | RAILROAD MEDICARE |
| 6367830001 | Other | KS | MEDICARE NSC |
| MA2364 | Other | MO | MEDICARE |
| 200569860A | Medicaid | KS |
Other names 1
- Grin Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
13400 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 829-5511
21020 W 151st St
Olathe, KS 66061
Phone (913) 829-3283
520 E 63rd St
Kansas City, MO 64110
Phone (816) 333-8600
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Olathe, KS
- NPI 1003881863
-
- Optometrist
- Leawood, KS
- NPI 1235197617
-
- Optometrist
- Overland Park, KS
- NPI 1548436561
-
- Optometrist
- Olathe, KS
- NPI 1659378461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1821063769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219241",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641219241",
"telephone_number": "913-829-5511",
"fax_number": "913-829-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21020 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617200",
"telephone_number": "913-829-5511",
"fax_number": "913-829-5571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILTON B GRIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "GRIN",
"authorized_official_first_name": "MILTON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "913-829-5511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "04 22448",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R8F92",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI8603",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "6367830001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MA2364",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200569860A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grin Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.