Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAURISE GENE VANDERGRIFF SR., L.D.O.
Active Sole ProprietorMR. MAURISE GENE VANDERGRIFF SR., L.D.O. is a Optician, Dispensing healthcare provider located in CLEVELAND, Tennessee. NPI 1427184019 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · CLEVELAND, TN
Registration Details
- NPI Number
- 1427184019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.428310737689 yrs)
- Last Updated
- Mar 6, 2008
- License
-
DPO 319 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2415 CHAMBLISS AVE NWCLEVELAND, TN, 373113882Browse TN providers · Browse ZIP 37311
- Phone
- 4234794397
- Fax
- 4234762974
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in CLEVELAND, TN
| Name | Credential | NPI |
|---|---|---|
| AARON L WILSON | A.B.O.M., D.P.O. | 1346384351 |
| MR. JEFFERY LEE LEONARD | LDO | 1215052493 |
| GAVIN DAVIS WILSON | — | 1992567382 |
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.