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General NPI Number Information
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NPI Number | 1467650150
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Entity Type | Organization
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Legal Business Name | DR, JOHN T. GRIGGS, OPTOMETRIST P.A.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 ZELKOVA COURT NW
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City | CONOVER
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State | NC
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Zip | 28613-9377
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Country | US
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Telephone | 828-464-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 VICTORIAN HILLS CIR
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City | CONOVER
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State | NC
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Zip | 28613-7774
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Country | US
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Telephone | 828-256-4323
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN THOMAS GRIGGS
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Credential | O.D.
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Telephone | 828-464-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | NC1139
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License Number State | NC
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