GRANT OPTOMETRIC GROUP INC.
NPI 1316395775
Optometrist in Costa Mesa, CA
About Grant Optometric Group Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT OPTOMETRIC GROUP INC. (NPI 1316395775) is a healthcare organization registered as an optometrist in Costa Mesa, California and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Kevin Michael Grant, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grant Optometric Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Grant Optometric Group Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2122593
Grant Optometric Group · Costa Mesa, CAFrequently 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 Grant Optometric Group Inc.'s NPI number?
The NPI number for Grant Optometric Group Inc. is 1316395775. It was assigned to this organization in the NPPES registry on May 26, 2016.
Where is Grant Optometric Group Inc. located?
Grant Optometric Group Inc. is located at 3140 Bear St, Costa Mesa, CA 92626. The listed phone number is (714) 557-2020.
What is Grant Optometric Group Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Grant Optometric Group Inc. enrolled in Medicare?
Yes. Grant Optometric Group Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grant Optometric Group Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Grant Optometric Group Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grant Optometric Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2122593) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Grant Optometric Group Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Grant Optometric Group Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grant Optometric Group Inc. was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Grant Optometric Group Inc. · NPI 1316395775
Optometrist organization in Costa Mesa, California. Organization record, active in the CMS NPPES registry since May 26, 2016.
## Identity
- **NPI:** 1316395775 (Entity type: Organization)
- **Enumerated:** May 26, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Grant, OWNER
## Practice location
- **Address:** 3140 BEAR ST, Costa Mesa, CA 92626-2964
- **Phone:** (714) 557-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316395775) · Data from the CMS NPPES public registry.