DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERSON GRANT JR., LDO

Active Sole Proprietor

JEFFERSON GRANT JR., LDO is a Optician, Dispensing healthcare provider located in GREENVILLE, South Carolina. NPI 1245960202 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · GREENVILLE, SC

Registration Details

NPI Number
1245960202
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2022 (4.1283170046935 yrs)
Last Updated
Jun 13, 2022
License
798 (SC)
Sole Proprietor
Yes

Practice Information

Address
3925 PELHAM RD
GREENVILLE, SC, 296155004
Browse SC providers · Browse ZIP 29615
Phone
8642882813
Fax
8642882820
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in GREENVILLE, SC

Name Credential NPI
MR. DAVID JEROME HARMON D.O. 1114093168
MARGARET L. HARKINS OPTICIAN 1669599833
MRS. SHERRY GOINS HARMON D.O. 1720106479
DAVID P GOSNELL OPTICIAN 1871719955
MR. DANIEL BRUCE GOSNELL OPTICIAN 1023292166
MISS BASHIA NICOLE GANDY LDO 1356070791
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.