Individual
DR. STEPHEN J GRYGIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
367 S MAIN ST, MARION, OH 43302-5005
(740) 382-2020
(740) 382-1941
Mailing address
367 S MAIN ST, MARION, OH 43302-5005
(740) 382-2020
(740) 382-1941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3517 P509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463841
—
OH
05
—
311015138026
—
OH
01
—
4380060001
SUPPLIER ID #-DMEPOS
OH
Enumeration date
09/13/2006
Last updated
03/24/2008
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