| Grover Vision Center | |
|
7110 S Mingo Rd #108 Tulsa OK 74133-3269 | |
| (918) 252-0438 | |
| (918) 250-0422 |
| Full Name | Grover Vision Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7110 S Mingo Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Alan Dale Grover (PRESIDENT) |
| Authorized Official Contact | 9182520438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grover Vision Center 7110 S Mingo Rd #108 Tulsa OK 74133-3269 Ph: (918) 252-0438 | Grover Vision Center 7110 S Mingo Rd #108 Tulsa OK 74133-3269 Ph: (918) 252-0438 |
| NPI Number | 1730312174 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730312174 | NPI | - | NPPES |
| 200227160A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2527 (Oklahoma) | Primary |
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