IndividualActive
Bryan Grossman, OD
NPI 1801467790 · Optometrist · Sacaton, AZ
Provider details
- NPI number
- 1801467790
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 002505 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone: (602) 271-7960
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 38
Sacaton, AZ 85147-1255
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.