Robert A Grand Od Pa

LBN: Robert A Grand Od Pa
Robert A Grand Od Pa is an health care organization with primary practice located at 8353 Sw 124Th St Suite 106, Miami FL 33156-5851. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Robert A Grand Od Pa can be contacted via phone (305) 233-2040, or through Grand, Robert A via phone (305) 233-2040.

Contact Information

Primary practice address
8353 Sw 124Th St Suite 106 Miami FL 33156-5851
Phone: (305) 233-2040
Fax: (305) 233-2052
Website:
Map and Directions
Authorized official contact:
Name: Grand, Robert A Doctor of Optometry (OD)
Phone: (305) 233-2040

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1222 Florida

Profile Details

NPI number 1275672917
LBN Legal business name Robert A Grand Od Pa
DBA Doing business as
Authorized official Grand, Robert A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 19th, 2010 - about 16 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 1275672917 NPPES
Florida MEDICAID 078590300

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