Provider Demographics
NPI:1073280749
Name:CRIGER, GRANT (OD)
Entity Type:Individual
Prefix:DR
First Name:GRANT
Middle Name:
Last Name:CRIGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-0444
Mailing Address - Country:US
Mailing Address - Phone:870-701-5119
Mailing Address - Fax:870-424-3588
Practice Address - Street 1:2943 HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-6535
Practice Address - Country:US
Practice Address - Phone:870-701-5119
Practice Address - Fax:870-424-3588
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2838152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist