MEDICARE: DR. ROYCE L. GRIMSRUD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	437	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033182936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROYCE L. GRIMSRUD O.D.

Provider Business Mailing Address
First Line	:	PO BOX 149
Second Line	:
City	:	SISSETON
State	:	SD
Zip	:	57262-0149
Country	:	US
Telephone Number	:	605-698-4112
Fax Number	:	605-698-3160

Provider Business Practice Location Address
First Line	:	121 E MAPLE ST
Second Line	:
City	:	SISSETON
State	:	SD
Zip	:	57262-1412
Country	:	US
Telephone Number	:	605-698-4112
Fax Number	:	605-698-3160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	01/29/2008

Similar Medicare Providers

1811537764 — LARRY EUGENE BECKER
Practice Location Address:

115 E MAPLE ST
SISSETON, SD
57262-1412

Practice Phone: 605-698-2222
Practice Fax: 605-698-2226

1952307696 — MS. LINDA R PETERSON MD
Practice Location Address:

205 ORCHARD DR
SISSETON, SD
57262-2312

Practice Phone: 605-698-7681
Practice Fax: 605-698-3493

1801892534 — MR. DAVID W STAUB MD
Practice Location Address:

205 ORCHARD DR
SISSETON, SD
57262-2312

Practice Phone: 605-698-7681
Practice Fax: 605-698-3493

1841296555 — MRS. LISA M BUCKLIN CNP
Practice Location Address:

205 ORCHARD DR
SISSETON, SD
57262-2312

Practice Phone: 605-698-7681
Practice Fax: 605-698-3493

1689672248 — HARVEY H BAKER ARNP
Practice Location Address:

100 LAKE TRAVERSE DR
SISSETON, SD
57262-7046

Practice Phone: 605-698-7606
Practice Fax:

1285632398 — MRS. JUDY C BEUMER MD
Practice Location Address:

205 ORCHARD DR
SISSETON, SD
57262-2312

Practice Phone: 605-698-7681
Practice Fax: 605-698-3493

Directions to “ DR. ROYCE L. GRIMSRUD O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.