Organization
GRANT VISION CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRUSILLA HASKINS GRANT OD (OWNER)
(330) 923-9951
Entity
Organization
Contact information
Practice address
1520 PORTAGE TRAIL, CUYAHOGA FALLS, OH 44223-2163
(330) 923-9951
(330) 923-6419
Mailing address
1520 PORTAGE TRL, STE 2, CUYAHOGA FALLS, OH 44223-2121
(330) 923-9951
(330) 923-6419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3533T464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3533T464
STATE OF OHIO LICENSE NUMBER
OH
Enumeration date
05/22/2008
Last updated
04/23/2013
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