Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT DERRIL GWINNER, O.D.
Active Sole ProprietorOptometrist · ELLSWORTH, KS
Registration Details
- NPI Number
- 1063496362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.405015373873 yrs)
- Last Updated
- Jul 8, 2007
- License
-
KS9613 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 E 3RD STELLSWORTH, KS, 674394224Browse KS providers · Browse ZIP 67439
- Phone
- 7854723272
- Fax
- 7854723360
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ELLSWORTH, KS
| Name | Credential | NPI |
|---|---|---|
| DR. GRANT K GWINNER | O.D. | 1083055651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.