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DARRELL E GROMAN OD LLC NPI 1548778160


NPI Information

NPI: 1548778160
Provider Name: DARRELL E GROMAN OD LLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
204 HILTY DRIVE
PANDORA, OH
ZIP 45877
Phone: (409) 384-3275
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DARRELL E GROMAN OD LLC is a vision therapy optometrist in Pandora, OH. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DARRELL E GROMAN OD LLC NPI is 1548778160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

204 HILTY DRIVE
PANDORA, OH
ZIP 45877-209
Phone: (409) 384-3275
Fax: (419) 384-3285

The provider's authorized official is Darrell Eugene Groman .
The authorized official title is Sole Owner and has the following contact phone number (419) 384-3275.

The enumeration date for this NPI number is 1/17/2018 and was last updated on 9/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10597420MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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