Randy A Grover O D & Associates Inc | |
9300 Nw 77th Ave, Hialeah Gardens, FL 33016-2504 | |
(305) 828-8393 | |
(305) 828-8393 |
Full Name | Randy A Grover O D & Associates Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 9300 Nw 77th Ave, Hialeah Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629285564 | NPI | - | NPPES |
621131300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC 3543 (Florida) | Primary |
Provider Name | Randy A Grover |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871564575 PECOS PAC ID: 8022027051 Enrollment ID: I20060420000227 |
Mailing Address | Practice Location Address |
---|---|
Randy A Grover O D & Associates Inc 801 Ne 191st Ter, Miami, FL 33179-3976 Ph: (786) 338-3272 | Randy A Grover O D & Associates Inc 9300 Nw 77th Ave, Hialeah Gardens, FL 33016-2504 Ph: (305) 828-8393 |
Bm Zoom Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9160 Nw 122nd St Unit 28, Hialeah Gardens, FL 33018 Phone: 305-512-4408 | |
David S Forrest Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11300 Nw 87th Ct, #115, Hialeah Gardens, FL 33018 Phone: 305-332-5332 | |
Dr. Randy Grover, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9300 Nw 77th Ave, Hialeah Gardens, FL 33140 Phone: 305-828-8393 |