Provider Demographics
NPI:1427206309
Name:GRIEVE, SHEILA DAWN (OD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DAWN
Last Name:GRIEVE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:DAWN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 E 5TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-2651
Mailing Address - Country:US
Mailing Address - Phone:605-990-5367
Mailing Address - Fax:605-990-5369
Practice Address - Street 1:200 E 5TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301
Practice Address - Country:US
Practice Address - Phone:605-990-5367
Practice Address - Fax:605-990-5369
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist