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Dr. Kevin Michael Grant, O.D.

Optometrist in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1043487929
StatusActive
Last updated in NPPESMay 10, 2008

Details

NPI
1043487929
Entity type
Individual (NPI-1)
Name
Dr. Kevin Michael Grant
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 10, 2008
Last updated
May 10, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT 13262 TPACAYes

Practice location

3140 Bear St
Costa Mesa, CA 92626-2964

Phone 714-557-2020

Mailing address

3140 Bear St
Costa Mesa, CA 92626-2964

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Costa Mesa, CA

All 42 Optometrist providers in Costa Mesa · All 5,371 providers in Costa Mesa

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