Matt Grantham, Od, PC
Matt Grantham, Od, PC is a healthcare organization registered as Optometrist in Poteau, OK, holding Type 2 (organization) NPI 1477637643 since 2006. The authorized official on file is Dana Grantham, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477637643 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matt Grantham, Od, PC |
| Other name | <Unavail> |
| Practice address | 101 SMITH AVE, SUITE #2, Poteau, OK, 74953 |
| Phone | 9186479283 |
| Fax | 9186490878 |
| Enumeration date | 2006-10-25 |
| Last updated in NPPES | 2024-02-06 |
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 |
|---|---|---|---|
| 100851340B | Medicaid | OK | — |
| 200090590B | Medicaid | OK | — |
Copy-ready billing details
Provider: Matt Grantham, Od, PC NPI: 1477637643 Taxonomy: 152W00000X (Optometrist) Address: 101 SMITH AVE, SUITE #2, Poteau, OK, 74953
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669641171 | Julia Medeiros | Individual | Family Nurse Practitioner | Poteau, OK |
| 1437398112 | Steven P. Medeiros, D.O., Inc. | Organization | Family Medicine Physician | Poteau, OK |
Verify this record
Cross-check NPI 1477637643 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 type of organization is Matt Grantham, Od, PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-06.