Organization Active NPI

Mark a Grandas

  • Optometrist
  • York, PA
National Provider Identifier
1902929631
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000064 Issued in PA
Legal business name
MARK A GRANDAS
Doing business as
Cruse Eye Care Specialties
Practice address
1018 N George St
York, PA 17404-2026
Phone
(717) 848-1316
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Mark Allen Grandas, O.D.
Title
Optometrist-Owner
Phone
(717) 848-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000064 PA Primary

Addresses

Primary practice location

1018 N George St
York, PA 17404-2026

Mailing address

1018 N George St
York, PA 17404-2026
Phone (717) 848-1316

Other identifiers 1

IdentifierTypeStateIssuer
01974483MedicaidPA

Other names 1

  • Cruse Eye Care Specialties 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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1902929631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174042026",
            "telephone_number": "717-848-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174042026",
            "telephone_number": "717-848-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A GRANDAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "GRANDAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIST-OWNER",
        "authorized_official_telephone_number": "717-848-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01974483",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cruse Eye Care Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.