DR. MATT L GRANTHAM O.D. NPI 1255487393

NPI Information

  • NPI: 1255487393
  • Provider Name: DR. MATT L GRANTHAM, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 SMITH AVE STE 2
    POTEAU, OK
    ZIP 74953
  • Phone: (918) 647-9283

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NPI Details

DR. Matt L Grantham, O.D. is an optometrist in Poteau, OK with 27 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Matt L Grantham, O.D. NPI is 1255487393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 SMITH AVE STE 2
POTEAU, OK
ZIP 74953-613
Phone: (918) 647-9283
Fax: (918) 649-0878

The NPI 1255487393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristXXXXOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200090590AMEDICAIDOKLAHOMA
2100851340BMEDICAIDOKLAHOMA
3100851340AMEDICAIDOKLAHOMA
4200090590BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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