Grove Eye Center Inc in Grove - Pediatrics

Grove Eye Center Inc - NPI 1407038417

Grove Eye Center Inc is a Pediatrics in Grove, Oklahoma. Grove Eye Center Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Grove Eye Center Inc is 1407038417. The last update date is 2011-03-17.

Grove Eye Center Inc's current location address is Po Box 452529, Grove, Oklahoma. You can contact this provider via phone number 9187869777 and fax number 9187868458. The mailing address for Grove Eye Center Inc is Po Box 452529, Grove, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grove Eye Center Inc
Address Po Box 452529, Grove, Oklahoma
Phone Number 9187869777
Fax Number 9187868458
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Yandell R Burness
Credentials OD
Telephone Number 9187869777

NPI Number Detail

NPI Number 1407038417
Provider Enumeration Date 2007-11-30
Last Updated Date 2011-03-17

Provider Mailing Address Detail

Address Po Box 452529
City Grove
State Oklahoma (OK)
Post Code 743452529
Phone Number 9187869777
Fax Number 9187868458

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 970
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
731086218001 BLUE CROSS BLUE SHIELD
100763110A OK --
1407038417 OK ADVANTRA FREEDOM

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FAQs about Grove Eye Center Inc

What is the unique 10-digit identification code assigned to Grove Eye Center Inc by the Centers for Medicare & Medicaid Services?

The Grove Eye Center Inc has been issued the NPI (National Provider Identifier) 1407038417, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Grove Eye Center Inc is physically located?

The Grove Eye Center Inc is physically situated at the following address: Po Box 452529, Grove, OK, 743452529.

What is Grove Eye Center Inc's area of expertise and its corresponding taxonomy classification?

The Grove Eye Center Inc's field of specialization is Pediatrics, and it falls under the taxonomy code 152Wp0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1407038417 to Grove Eye Center Inc?

The Centers for Medicare & Medicaid Services assigned the 1407038417 to Grove Eye Center Inc on 2007-11-30.

As of what date was the information regarding Grove Eye Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Grove Eye Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-17.

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