Dr. David Grisham
Optometrist Sports Vision Occupational Vision Pediatric Optomitrist and 3 more
615 B St Suite 2
San Rafael
, California 94901-3805
Dr. David Grisham
Optometrist Sports Vision Occupational Vision Pediatric Optomitrist and 3 more
615 B St Suite 2
San Rafael
, California 94901-3805
(415) 459-2021
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About
Features
Specialties
- Optometrist
- Optomitrist - Low Vision Rehabilitation
- Pediatric Optomitrist
- Sports Vision
- Optomitrist - Vision Therapist
- Occupational Vision
- Ophthalmic
Languages spoken
- English
Location
First Address
- Dr. David Grisham
- 615 B St Suite 2
- San Rafael, CA
- Zip : 94901-3805
- Fax : (415) 459-2021
- Phone : (415) 459-2020
Second Address
- Dr. David Grisham
- 615 B St Suite 2
- San Rafael, CA
- Zip : 94901-3805
- Fax : (415) 459-2021
- Phone : (415) 459-2020
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FAQs
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Is Dr. David Grisham a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5110 | CA |
| N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 5110 | CA |
| N | 152WP0200X | Pediatric Optomitrist | 5110 | CA |
| N | 152WS0006X | Sports Vision | 5110 | CA |
| N | 152WV0400X | Optomitrist - Vision Therapist | 5110 | CA |
| N | 152WX0102X | Occupational Vision | 5110 | CA |
| N | 156FX1100X | Ophthalmic | 5110 | CA |
National Provider Identifier
| NPI | 1326326091 |
|---|---|
| Provider Name | Dr. David Grisham |
| First Address | San Rafael, CA 94901-3805 |
| Second Address | San Rafael, CA 94901-3805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2011 |
| Last Update Date | 29/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.