DR. Kevin Michael Grant, O.D.

NPI #1043487929 in Costa Mesa, California

Provider Information

NPI Number: 1043487929
Entity Type: Individual
Name: DR. Kevin Michael Grant, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 10, 2008
Last Updated: May 10, 2008

Practice Location

Address: 3140 BEAR ST
City: Costa Mesa
State: California
ZIP Code: 92626-2964
Phone: (714) 557-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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