Organization
GATEWAY VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S GRIMSHAW O.D. (OWNER)
(904) 247-0211
Entity
Organization
Contact information
Practice address
447 ATLANTIC BLVD, SUITE # 1, ATLANTIC BEACH, FL 32233-4004
(904) 247-0211
(904) 246-6115
Mailing address
447 ATLANTIC BLVD, SUITE # 1, ATLANTIC BEACH, FL 32233-4004
(904) 247-0211
(904) 246-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002051
FL
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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