1730312174 NPI number — GROVER VISION, PLLC

Table of content: (NPI 1730312174)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730312174 NPI number — GROVER VISION, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GROVER VISION, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GROVER VISION CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730312174
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7110 S MINGO RD
Provider Second Line Business Mailing Address:
#108
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74133-3269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-252-0438
Provider Business Mailing Address Fax Number:
918-250-0422

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7110 S MINGO RD
Provider Second Line Business Practice Location Address:
#108
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74133-3269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-252-0438
Provider Business Practice Location Address Fax Number:
918-250-0422
Provider Enumeration Date:
09/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
GROVER
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
DALE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
918-252-0438

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  2527 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200227160A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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