Provider Demographics
NPI:1982256558
Name:GRASIC, DAVID JOSIP (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSIP
Last Name:GRASIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 410108
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-0108
Mailing Address - Country:US
Mailing Address - Phone:405-607-6699
Mailing Address - Fax:405-607-6685
Practice Address - Street 1:1851 S KELLY AVE STE A
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3929
Practice Address - Country:US
Practice Address - Phone:405-607-6699
Practice Address - Fax:405-607-6685
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2021-03136207W00000X
OK42480207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology