MEDICARE: DR. GRACE CAROLINE LAGRANGE OD

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	4003	TN

General Provider Information

NPI Number	:	1841122132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRACE CAROLINE LAGRANGE OD

Provider Business Mailing Address
First Line	:	2211 CREEKSIDE BR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4967
Country	:	US
Telephone Number	:	615-604-8184
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 COUNTRY CLUB DR STE 106
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-4099
Country	:	US
Telephone Number	:	615-824-4246
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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