Provider Demographics
NPI:1821152604
Name:GRANT, STEVEN E (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:GRANT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:70 E HORIZON RIDGE PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7937
Mailing Address - Country:US
Mailing Address - Phone:702-564-7581
Mailing Address - Fax:702-564-5986
Practice Address - Street 1:70 E HORIZON RIDGE PKWY STE 160
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7937
Practice Address - Country:US
Practice Address - Phone:702-564-7581
Practice Address - Fax:702-564-5986
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist