Matt Grantham, Od, PC

NPI #1477637643 in Poteau, Oklahoma

Provider Information

NPI Number: 1477637643
Entity Type: Organization
Organization Name: Matt Grantham, Od, PC
Primary Specialty: Optometrist
Enumeration Date: Oct 25, 2006
Last Updated: Feb 6, 2024

Practice Location

Address: 101 SMITH AVE
Address 2: SUITE #2
City: Poteau
State: Oklahoma
ZIP Code: 74953-2613
Phone: (918) 647-9283

Authorized Official

Name: MRS. DANA M GRANTHAM
Title: OFFICE MANAGER
Phone: (918) 647-9283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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