Organization
GRAYSON OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ALLEN GRAYSON JR. (OPTICIAN)
(601) 693-6374
Entity
Organization
Contact information
Practice address
2021 24TH AVE., MERIDIAN, MS 39301
(601) 693-6374
(601) 693-5053
Mailing address
2021 24TH AVE., MERIDIAN, MS 39301
(601) 693-6374
(601) 693-6374
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
23648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880078
—
MS
Enumeration date
03/20/2007
Last updated
08/22/2020
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