Individual
DR. EDWARD NATHAN GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
857 W CHILDS AVE, MERCED, CA 95341-6862
(209) 722-4842
Mailing address
4013 W ORIOLE CT, VISALIA, CA 93291-8078
(559) 905-0062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6038T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-3267897
FED. TAX ID
CA
Enumeration date
09/20/2006
Last updated
09/12/2025
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