Dr. Nicole Marie Grimes, OD
Optometrist in Lakewood, CO. Individual provider (NPI-1).
NPI number1164093381
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1164093381
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie Grimes
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0003689 | CO | Yes |
Practice location
7111 W Alameda Ave Unit LLakewood, CO 80226-3300
Phone 303-934-0268
Mailing address
7511 S 28th TerPhoenix, AZ 85042-6047
Phone 480-327-8704
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