Organization
JESSICA GRIMES, OD, LLC
Active
Other names
Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ANN GRIMES OD (OPTOMETRIST)
(804) 896-1622
Entity
Organization
Contact information
Practice address
798 SOUTHPARK BLVD, SUITE 24, COLONIAL HEIGHTS, VA 23834-3615
(804) 524-0200
Mailing address
798 SOUTHPARK BLVD, SUITE 24, COLONIAL HEIGHTS, VA 23834-3615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002132
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609137611
—
VA
Enumeration date
11/12/2015
Last updated
03/20/2023
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