Matt Grantham, Od, PC
Matt Grantham, Od, PC is a healthcare organization registered as Optometrist in Poteau, OK, holding Type 2 (organization) NPI 1124174966 since 2007. The authorized official on file is Dana Grantham, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124174966 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matt Grantham, Od, PC |
| Other name | <Unavail> |
| Practice address | 101 SMITH AVE STE 2, Poteau, OK, 74953 |
| Phone | 9186479283 |
| Fax | 9186490878 |
| Enumeration date | 2007-01-26 |
| Last updated in NPPES | 2025-07-31 |
Authorized official
| Name | Dana Grantham |
|---|---|
| Title | Office Manager |
| Phone | 9186479283 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100851340A | Medicaid | OK | — |
| 200090590A | Medicaid | OK | — |
Copy-ready billing details
Provider: Matt Grantham, Od, PC NPI: 1124174966 Taxonomy: 152W00000X (Optometrist) Address: 101 SMITH AVE STE 2, Poteau, OK, 74953
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255487393 | Matt Grantham | Individual | Optometrist | Poteau, OK |
Verify this record
Cross-check NPI 1124174966 against the authoritative CMS record: view Matt Grantham, Od, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Matt Grantham, Od, PC?
Who is the authorized official for Matt Grantham, Od, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-31.