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Contact Information

DAVID GRISHAM, OD, MS, FAAO,FCOVD-A
615 B ST
SUITE 2
SAN RAFAEL, CA94901-3805
 Phone: 415-459-2020
 Fax: 415-459-2021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Ophthalmic Technician/Technologist

156FX1100X
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID GRISHAM · (Male)

NPI Number 1326326091
Status Active
Credentials OD, MS, FAAO,FCOVD-A
Entity Individual
Enumeration date 07/29/2011
Last updated 07/29/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 5110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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