Organization
MILTON B GRIN MD PA
Active
Other names
Grin Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON B GRIN MD (PHYSICIAN OWNER)
(913) 829-5511
Entity
Organization
Contact information
Practice address
21020 W 151ST ST, OLATHE, KS 66061-7200
(913) 829-5511
(913) 829-5571
Mailing address
PO BOX 219241, KANSAS CITY, MO 64121-9241
(913) 829-5511
(913) 829-5571
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04 22448
KS
207W00000X
Ophthalmology Physician
R8F92
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200569860A
—
KS
01
—
6367830001
MEDICARE NSC
KS
01
—
CI8603
RAILROAD MEDICARE
KS
01
—
MA2364
MEDICARE
MO
Enumeration date
02/22/2006
Last updated
04/29/2013
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