Physician Compare National (NPI:1356350540)

HEALTHCARE PROVIDER: YEVGENY GRINMAN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356350540
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779588595
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060928000358
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRINMAN
	Individual professional last name
Provider First Name	YEVGENY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	OD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1013 DAVIS ST
	Group Practice or individual's line 1 address
City	EVANSTON
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	602013609
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y