Smith, Grant Robert

Smith, Grant Robert is an sole proprietor health care provider with primary practice located at 4190 Vinewood Ln N Suite 109, Plymouth MN 55442-1735. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Grant Robert can be contacted via phone (763) 559-5522.

Contact Information

Primary practice address
4190 Vinewood Ln N Suite 109 Plymouth MN 55442-1735
Phone: (763) 559-5522
Fax: (763) 559-7122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2211 Minnesota

Profile Details

NPI number 1750454906
LBN Legal business name Smith, Grant Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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