Individual
DR. RICHARD SCOTT GRIMSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1840 DUNN AVE STE 4, JACKSONVILLE, FL 32218-4785
(904) 751-4483
(904) 751-0890
Mailing address
447 ATLANTIC BLVD, STE 1, ATLANTIC BEACH, FL 32233-4050
(904) 247-0211
(904) 246-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078621700
—
FL
Enumeration date
04/20/2006
Last updated
07/19/2019
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