Organization
GATEWAY VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S GRIMSHAW O.D. (OWNER/OPTOMETRIST)
(904) 751-4483
Entity
Organization
Contact information
Practice address
1840 DUNN AVE, SUITE 4, JACKSONVILLE, FL 32218-4799
(904) 751-4483
Mailing address
447 ATLANTIC BLVD, SUITE #1, ATLANTIC BEACH, FL 32233-4004
(904) 247-0211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/27/2012
Last updated
11/24/2015
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