# GATEWAY VISION, INC

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

## Provider details

- **NPI number:** 1447420443
- **Authorized official:** DR. RICHARD SCOTT GRIMSHAW O.D. (OWNER)
- **Authorized official phone:** (904) 768-9196

## Contact information

- **Practice address:** 5238-17 NORWOOD AVE, JACKSONVILLE, FL 32208-5005
- **Practice address phone:** (904) 768-9196
- **Practice address fax:** (904) 765-4301
- **Mailing address:** 5238-17 NORWOOD AVE, JACKSONVILLE, FL 32208-5005
- **Mailing address phone:** (904) 768-9196
- **Mailing address fax:** (904) 765-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC0002051 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 03/05/2008