MR. MAURISE GENE VANDERGRIFF SR. L.D.O.
NPI 1427184019
Technician/Technologist - Optician in Cleveland, TN

Active since February 26, 2007
2415 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 479-4397(423) 476-2974 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mr. Maurise Gene Vandergriff Sr. L.d.o. NPPES

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

MR. MAURISE GENE VANDERGRIFF SR. L.D.O. (NPI 1427184019) is an individual optician in Cleveland, Tennessee, licensed in Tennessee (DPO 319) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1427184019
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. MAURISE GENE VANDERGRIFF SR.Credential: L.D.O.
Location Address2415 CHAMBLISS AVE NWCleveland, TN 37311-3882
Mailing Address2415 Chambliss Ave NwCleveland, TN 37311-3882 · (423) 479-4397 · Fax (423) 476-2974
Fax(423) 476-2974
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 6, 2008
NPI 1427184019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in TN · DPO 319
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
2415 CHAMBLISS AVE NW, Cleveland, TN 37311

Other Identifiers 2

Medicare NSC0243820001
Other2002794TN · Blue Cross & Blue Shield

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Eyewear Supplier
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311

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 Maurise Vandergriff's NPI number?

The NPI number for Maurise Vandergriff is 1427184019. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Maurise Vandergriff located?

Maurise Vandergriff practices at 2415 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 479-4397.

What is Maurise Vandergriff's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Maurise Vandergriff was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.