Provider Demographics
NPI:1538434683
Name:BROOKS T. GRANT, O.D., PLLC
Entity type:Organization
Organization Name:BROOKS T. GRANT, O.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:TRENT
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:325-698-2010
Mailing Address - Street 1:6382 BUFFALO GAP RD STE E
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-6099
Mailing Address - Country:US
Mailing Address - Phone:325-698-2010
Mailing Address - Fax:325-692-2025
Practice Address - Street 1:6382 BUFFALO GAP RD STE E
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-6099
Practice Address - Country:US
Practice Address - Phone:325-698-2010
Practice Address - Fax:325-692-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7554-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty