Kenneth Randell Grossman in Merced - Ophthalmology
Kenneth Randell Grossman - NPI 1184684672
Kenneth Randell Grossman is a Ophthalmology in Merced, California. Kenneth Randell Grossman practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kenneth Randell Grossman is 1184684672. The last update date is 2009-07-06.
Kenneth Randell Grossman's current location address is 580 Collins Dr, Merced, California. You can contact this provider via phone number 2093830989 and fax number 2093836836. The mailing address for Kenneth Randell Grossman is 580 Collins Dr, Merced, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Randell Grossman |
|---|---|
| Address | 580 Collins Dr, Merced, California |
| Phone Number | 2093830989 |
| Fax Number | 2093836836 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184684672 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2009-07-06 |
Provider Mailing Address Detail
| Address | 580 Collins Dr |
|---|---|
| City | Merced |
| State | California (CA) |
| Post Code | 953483121 |
| Phone Number | 2093830989 |
| Fax Number | 2093836836 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | G50711 |
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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
What is the unique identifier code issued to Kenneth Randell Grossman by the Centers for Medicare & Medicaid Services?
The Kenneth Randell Grossman has been assigned the NPI (National Provider Identifier) 1184684672. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kenneth Randell Grossman is physically located?
The Kenneth Randell Grossman is situated at the following address: 580 Collins Dr, Merced, CA 953483121.
What is Kenneth Randell Grossman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Randell Grossman's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
When did Kenneth Randell Grossman receive its 1184684672 assignment?
The Kenneth Randell Grossman was assigned its 1184684672 on 2006-03-27, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kenneth Randell Grossman most recently updated or revised?
The details related to Kenneth Randell Grossman, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-06.