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MATT GRANTHAM, OD, PC
NPI 1124174966
Optometrist in Poteau, OK

Active since January 26, 2007
101 SMITH AVE STE 2, POTEAU, OK 74953(918) 647-9283(918) 649-0878 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matt Grantham, Od, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATT GRANTHAM, OD, PC (NPI 1124174966), doing business as Grantham Eye Clinic, is a healthcare organization registered as an optometrist in Poteau, Oklahoma and active in the NPI registry since January 2007. The organization lists Dana M Grantham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124174966
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMATT GRANTHAM, OD, PC
Location Address101 SMITH AVE STE 2Poteau, OK 74953-2613
Mailing Address101 Smith Ave Ste 2Poteau, OK 74953-2613 · (918) 647-9283 · Fax (918) 649-0878
Phone(918) 647-9283
Fax(918) 649-0878
Organization SubpartNo
Authorized OfficialDana M GranthamOffice Manager · (918) 647-9283
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1124174966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
101 SMITH AVE STE 2, Poteau, OK 74953
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Other Names 1

Doing Business AsGrantham Eye Clinic

Other Identifiers 2

Medicaid100851340AOK
Medicaid200090590AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Grantham Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Grantham Eye Clinic

DMEPOS supplier · Wilburton, OKOperated by Matt Grantham, Od, PC
✔

Accepts Medicare assignment

Grantham Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20602979
Medicare Participant SinceDecember 2, 2002
Supplier Location218 W Main StWilburton, OK 74578
Phone(918) 465-3780
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATT L GRANTHAM O.D.
Optometrist
101 SMITH AVE STE 2
POTEAU, OK 74953
Le Flore County (918) 647-9283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Grantham, Od, PC's NPI number?

The NPI number for Matt Grantham, Od, PC is 1124174966. It was assigned to this organization in the NPPES registry on January 26, 2007. The provider is doing business as Grantham Eye Clinic.

Where is Matt Grantham, Od, PC located?

Matt Grantham, Od, PC is located at 101 Smith Ave Ste 2, Poteau, OK 74953. The listed phone number is (918) 647-9283.

What is Matt Grantham, Od, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Matt Grantham, Od, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Grantham Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Matt Grantham, Od, PC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.