IndividualActive
Jayvaughn Grissom
NPI 1073217733 · Technician/Technologist · Dearborn, MI
Jayvaughn Grissom is a Technician/Technologist provider in Dearborn, MI (NPI 1073217733).
Provider details
- NPI number
- 1073217733
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Street-level locationGet directions
Mailing address
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Frequently asked questions
- What is Jayvaughn Grissom's NPI number?
- Jayvaughn Grissom's National Provider Identifier (NPI) is 1073217733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jayvaughn Grissom's specialty?
- Jayvaughn Grissom is listed in the NPPES registry with a primary specialty of Technician/Technologist (Eye and Vision Services Providers).
- Where is Jayvaughn Grissom located?
- Jayvaughn Grissom's practice location on file with NPPES is 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044.
- What is Jayvaughn Grissom's phone number?
- The practice phone number listed in the NPPES registry for Jayvaughn Grissom is (313) 406-5056.
- Is Jayvaughn Grissom's NPI active?
- Yes — Jayvaughn Grissom's NPI (1073217733) is active in the NPPES registry as of the last update on 2023-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.