Richard S Grimshaw (NPI# 1912963877, PAC ID# 3072525021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1912963877 |
| PAC ID by PECOS | 3072525021 |
| Professional Enrollment ID | I20060717000244 |
| Full Name | Richard S Grimshaw |
| Organization Legal Name | GATEWAY VISION INC |
| Address |
1840 Dunn Ave Suite 4 Jacksonville FL 32218-4785 |
| Phone Number | 9047514483 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8022029222 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 447 Atlantic Blvd, Suite 1, Atlantic Beach, FL 32233-4050 | 9042470211 | GATEWAY VISION INC |
| 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 | 9047514483 | GATEWAY VISION INC |
| Organization Legal Name | GATEWAY VISION INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Caperton | Optometry | Gateway Vision Inc | 447 Atlantic Blvd, Suite 1, Atlantic Beach, FL 32233-4050 |
| Mark A Popp | Optometry | Gateway Vision Inc | 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 |
| Street Address |
1840 DUNN AVE SUITE 4 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32218-4785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Popp | Optometry | Gateway Vision Inc | 1840 Dunn Ave, Suite 4, Jacksonville, FL 32218-4785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Wink | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Kimberly Ann Segler | Occupational Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Justin Carmel | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Chandra M Williams | Optometry | River City Vision Center Pa | 12961 N Main St, Unit 203, Jacksonville, FL 32218-2771 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Jamila Mainor | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Katherine Langston | Family Medicine | Florida Post Acute Care Clinicians LLC | 11411 Armsdale Rd, Jacksonville, FL 32218-3311 |
| Sharon Lynn Steinmetz | Nurse Practitioner | 11565 Harts Rd, Jacksonville, FL 32218-3777 | |
| Elizabeth Ann Breza | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Allison Krebs | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Find all physicians in zip 32218 | |||
| City | JACKSONVILLE |
| Zip Code | 32218 |
| Specialty | OPTOMETRY |
| City + Specialty | JACKSONVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Richard S Grimshaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.