Provider Demographics
NPI:1245928944
Name:GRYFN AI, INC
Entity type:Organization
Organization Name:GRYFN AI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GRIFFIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:715-441-3797
Mailing Address - Street 1:398 BLUEBIRD LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-5329
Mailing Address - Country:US
Mailing Address - Phone:715-441-3797
Mailing Address - Fax:
Practice Address - Street 1:398 BLUEBIRD LN
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-5329
Practice Address - Country:US
Practice Address - Phone:715-441-3797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty