Grimes, James H.

Grimes, James H. is an individual health care provider with primary practice located at 1405 Harrison Ave Nw Ste. 101, Olympia WA 98502-5360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grimes, James H. can be contacted via phone (360) 357-5548.

Contact Information

Primary practice address
1405 Harrison Ave Nw Ste. 101 Olympia WA 98502-5360
Phone: (360) 357-5548
Fax: (360) 786-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1082 Washington

Profile Details

NPI number 1104818814
LBN Legal business name Grimes, James H.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 24th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104818814 NPPES
Washington MEDICAID 8028011
Washington Other 910872462
Washington MEDICAID 2495208
Washington MEDICAID 2027738

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