Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Zeke Parker Grissom, OD

Individual provider Optometrist · NPI 1164095758

Dr. Zeke Parker Grissom, OD is an Optometry in Shelbyville, Tennessee. Graduated from Southern College of Optometry in 2021, 5 years ago. Practices with Bedford Vision and Eye Clinic PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Trained at
Southern College of Optometry
Licensed in
TN
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

915 Colloredo Blvd
Shelbyville, TN 37160-2780
Phone: (931) 684-2197
Fax: (931) 229-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3676 (TN)

Record details

NPI number1164095758
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Bedford Vision And Eye Clinic Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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