Individual
DR. JEFFERY G GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4109 N MIDLAND DR, MIDLAND, TX 79707-3500
(432) 694-5259
(432) 694-7694
Mailing address
4109 N MIDLAND DR, MIDLAND, TX 79707-3500
(432) 694-5259
(432) 694-7694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3040TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3040TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130998102
—
TX
01
—
3040TG
OPTOMETRY LICENSE
TX
Enumeration date
08/19/2005
Last updated
07/01/2014
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