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Matt Grantham, Od, PC

Optometrist in Poteau, OK · enumerated 2007 · authorized official Dana Grantham, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124174966

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Registry record

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 (918) 647-9283
Fax (918) 649-0878
Enumeration date Jan 26, 2007
Last updated in NPPES Jul 31, 2025

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Dana Grantham
Title Office Manager
Phone (918) 647-9283

Other identifiers

Identifier Type State Issuer
100851340A Medicaid OK -
200090590A Medicaid OK -

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.

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Frequently asked questions

What is the NPI number for Matt Grantham, Od, PC?
The NPI for Matt Grantham, Od, PC is 1124174966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Matt Grantham, Od, PC?
NPPES lists Dana Grantham (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-31.