Healthcare Provider Details

I. General information

NPI: 1760313944
Provider Name (Legal Business Name): GRACE SMITH MCCREIGHT OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 CORPORATE WOODS DR
VESTAVIA AL
35242-2208
US

IV. Provider business mailing address

3745 CORPORATE WOODS DR
VESTAVIA AL
35242-2208
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-1077
  • Fax:
Mailing address:
  • Phone: 205-933-1077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1135
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-F81-TA-E05
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: