Individual
CHELSEA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
525 SHERIDAN RD, NOBLESVILLE, IN 46060
(317) 776-0036
(317) 774-9283
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003904
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201294640
—
IN
Enumeration date
06/22/2015
Last updated
08/15/2018
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