Individual
DR. AMY LYN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1005
AZ
152WL0500X
Low Vision Rehabilitation Optometrist
OPT-001005
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886509
—
AZ
Enumeration date
08/19/2006
Last updated
02/28/2025
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