Grant Optometric Group Inc.

NPI #1316395775 in Costa Mesa, California

Provider Information

NPI Number: 1316395775
Entity Type: Organization
Organization Name: Grant Optometric Group Inc.
Primary Specialty: Optometrist
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

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

Authorized Official

Name: KEVIN MICHAEL GRANT, DO
Title: OWNER
Phone: (714) 557-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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