Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKISHA GRADY
ActiveLAKISHA GRADY is a Optician healthcare provider located in FORT WAYNE, Indiana. NPI 1114797313 is currently active in the NPPES registry. Verify at CMS.
Optician · FORT WAYNE, IN
Registration Details
- NPI Number
- 1114797313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2024 (2.6215543930269 yrs)
- Last Updated
- Jan 28, 2024
Practice Information
- Address
-
2213 DREXEL AVEFORT WAYNE, IN, 468061382Browse IN providers · Browse ZIP 46806
- Phone
- 2607155312
- Primary Specialty
-
Optician
156F00000X
Other Optician Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| JESSE DOMINGUEZ | — | 1245198696 |
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.