Edward L Grimes O.D.

NPI 1003917030 - Optometrist - 152W00000X

NPI Details
NPI 1003917030
Gender Male
Enumeration Date 09/25/2006
Last Updated 09/13/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
SAN ANGELO TX, 76901-5611, US
Phone (325) 481-2286
Fax (325) 481-2028
Business Location
PO BOX 22000
SAN ANGELO TX, 76902-7200, US
Phone (325) 658-1511
Fax (325) 481-2028
Taxonomy Code 152W00000X
License State Texas
License Number 3472TG
Remove 1003917030 NPI Number

According to our database, Edward L Grimes O.D. NPI is 1003917030, taxonomy code is 152W00000X and license number is 3472TG, license state is located at Texas. Edward L Grimes O.D. physically located at 4450 Sunset Dr, San Angelo TX, 76901-5611. NPI Number Edward L Grimes O.D. has the Individual type.

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1003917030 NPI number is provided on an as is basis without warranty of any kind. 1003917030 is maintained by the National Plan & Provider Enumeration System. The contents of Edward L Grimes O.D. are for informational purposes only.