MISS DEJANA GRK OD NPI 1447692793

NPI Information

  • NPI: 1447692793
  • Provider Name: MISS DEJANA GRK, OD
  • Classification: Optometrist - 152WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1331 N 7TH ST
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 222-2234

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NPI Details

MISS Dejana Grk, OD is a pediatrics optometrist in Phoenix, AZ. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. MISS Dejana Grk, OD NPI is 1447692793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1331 N 7TH ST
PHOENIX, AZ
ZIP 85006
Phone: (602) 222-2234
Fax: (602) 222-3025

The enumeration date for this NPI number is 7/26/2013 and was last updated on 7/31/2018.

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
1152WP0200XOptometristPediatricsOPT33832CALIFORNIAYes

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
11861493140OTHERTEXASGROUP NPI
2112409104MEDICAIDTEXAS

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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