Miller, Grant Thomas

Miller, Grant Thomas is an individual health care provider with primary practice located at 8362 Grand Ave , River Grove IL 60171. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Miller, Grant Thomas can be contacted via phone (708) 583-1100.

Contact Information

Primary practice address
8362 Grand Ave River Grove IL 60171
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046011216 Illinois
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 046011216 Illinois

Profile Details

NPI number 1720509458
LBN Legal business name Miller, Grant Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2017
Last updated Jun 27th, 2019 - about 5 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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