Kenneth R Grossman Md Inc in Merced - Ophthalmology
Kenneth R Grossman Md Inc - NPI 1174537021
Kenneth R Grossman Md Inc is a Ophthalmology in Merced, California. Kenneth R Grossman Md Inc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kenneth R Grossman Md Inc is 1174537021. The last update date is 2020-08-22.
Kenneth R Grossman Md Inc's current location address is 580 Collins Dr, Merced, California. You can contact this provider via phone number 2093830989. The mailing address for Kenneth R Grossman Md Inc is 580 Collins Dr, Merced, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth R Grossman Md Inc |
|---|---|
| Address | 580 Collins Dr, Merced, California |
| Phone Number | 2093830989 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHYS |
|---|---|
| Authorized Official Name | Grossman Randell Kenneth |
| Credentials | MD |
| Telephone Number | 2093830989 |
NPI Number Detail
| NPI Number | 1174537021 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 580 Collins Dr |
|---|---|
| City | Merced |
| State | California (CA) |
| Post Code | 953483121 |
| Phone Number | 2093830989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0087430 | CA | -- |
Post Comment/ Review Below
Could you kindly provide the complete physical address where Kenneth R Grossman Md Inc's facilities are geographically located?
The facilities of Kenneth R Grossman Md Inc are physically situated at the following location: 580 Collins Dr, Merced, CA, 953483121.
What is Kenneth R Grossman Md Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth R Grossman Md Inc is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did Kenneth R Grossman Md Inc receive its 1174537021 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth R Grossman Md Inc was assigned its 1174537021 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1174537021 to Kenneth R Grossman Md Inc?
The Centers for Medicare & Medicaid Services assigned the 1174537021 to Kenneth R Grossman Md Inc on 2006-07-28.
When was the information related to Kenneth R Grossman Md Inc most recently updated or refreshed?
The details pertaining to the Kenneth R Grossman Md Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.