Grantham Eye Clinic

LBN: Matt Grantham, Od, Pc
Grantham Eye Clinic is an health care organization with primary practice located at 101 Smith Ave Suite #2, Poteau OK 74953-2613. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Matt Grantham, Od, Pc can be contacted via phone (918) 647-9283, or through Grantham, Dana M via phone (918) 647-9283.

Contact Information

Primary practice address
101 Smith Ave Suite #2 Poteau OK 74953-2613
Phone: (918) 647-9283
Fax: (918) 649-0878
Website:
Map and Directions
Authorized official contact:
Name: Grantham, Dana M
Phone: (918) 647-9283

Health care specialties

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

Profile Details

NPI number 1477637643
LBN Legal business name Matt Grantham, Od, Pc
DBA Doing business as Grantham Eye Clinic
Authorized official Grantham, Dana M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477637643 NPPES
Oklahoma MEDICAID 100851340B
Oklahoma MEDICAID 200090590B

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