Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jefferson Grant Jr., LDO

Individual provider Optician · NPI 1245960202

Jefferson Grant Jr., LDO is an Optician in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022
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Practice location Address checks out

3925 Pelham Rd
Greenville, SC 29615-5004
Phone: (864) 288-2813
Fax: (864) 288-2820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 798 (SC)

Record details

NPI number1245960202
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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