Individual
CORY A GRIFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1240 LOMALAND DR, EL PASO, TX 79907-1405
(915) 591-4441
(915) 591-0142
Mailing address
945 S MESA HILLS DR APT 3709, EL PASO, TX 79912-5157
(231) 287-7669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1830
SC
152W00000X
Optometrist
Primary
8822T
TX
152WC0802X
Corneal and Contact Management Optometrist
1830
SC
152WL0500X
Low Vision Rehabilitation Optometrist
1830
SC
Other
Enumeration date
10/28/2014
Last updated
11/11/2015
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