Grigsby, Jeffery G
Grigsby, Jeffery G is an individual health care provider with primary practice located at 4109 N Midland Dr , Midland TX 79707-3500. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Grigsby, Jeffery G can be contacted via phone (432) 694-5259.Contact Information
Primary practice address
4109 N Midland Dr
Midland TX 79707-3500
Phone: (432) 694-5259
Fax: (432) 694-7694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3040TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3040TG | Texas |
Profile Details
| NPI number | 1447242912 |
|---|---|
| LBN Legal business name | Grigsby, Jeffery G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447242912 | NPPES |
| Texas | Other | 3040TG | OPTOMETRY LICENSE |
| Texas | MEDICAID | 130998102 | OPTOMETRY LICENSE |
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