# GATEWAY VISION INC

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

## Provider details

- **NPI number:** 1740548767
- **Authorized official:** DR. RICHARD S GRIMSHAW O.D. (OWNER/OPTOMETRIST)
- **Authorized official phone:** (904) 751-4483

## Contact information

- **Practice address:** 1840 DUNN AVE, SUITE 4, JACKSONVILLE, FL 32218-4799
- **Practice address phone:** (904) 751-4483
- **Mailing address:** 447 ATLANTIC BLVD, SUITE \#1, ATLANTIC BEACH, FL 32233-4004
- **Mailing address phone:** (904) 247-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 11/24/2015