Susan Grayson
Individual provider Active NPI Optician · Demopolis, AL
NPI 1932271707 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1932271707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 111 W Washington St
Demopolis, AL 36732-2043 - Phone
- (334) 289-4749
- Fax
- (334) 287-2197
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
111 W Washington St
Demopolis, AL 36732-2043
Mailing address
111 W Washington St
Demopolis, AL 36732-2043
Phone (334) 289-4749
Other providers in Demopolis, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.