Grant, Kevin Michael

Grant, Kevin Michael is an sole proprietor health care provider with primary practice located at 3140 Bear St , Costa Mesa CA 92626-2964. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grant, Kevin Michael can be contacted via phone (714) 557-2020.

Contact Information

Primary practice address
3140 Bear St Costa Mesa CA 92626-2964
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 13262 TPA California

Profile Details

NPI number 1043487929
LBN Legal business name Grant, Kevin Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2008
Last updated May 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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