# GATEWAY VISION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205885886
- **Authorized official:** DR. RICHARD S GRIMSHAW O.D. (OWNER)
- **Authorized official phone:** (904) 247-0211

## Contact information

- **Practice address:** 447 ATLANTIC BLVD, SUITE \# 1, ATLANTIC BEACH, FL 32233-4004
- **Practice address phone:** (904) 247-0211
- **Practice address fax:** (904) 246-6115
- **Mailing address:** 447 ATLANTIC BLVD, SUITE \# 1, ATLANTIC BEACH, FL 32233-4004
- **Mailing address phone:** (904) 247-0211
- **Mailing address fax:** (904) 246-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC002051 | FL | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020