Individual
MR. DUSTIN GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8050 NAVARRE PKWY, NAVARRE, FL 32566-6906
(850) 939-3459
(850) 497-6219
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20958
FLORIDA BLUE
FL
05
—
620588700
—
FL
Enumeration date
09/26/2005
Last updated
08/04/2017
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