MR. DARRELL EUGENE GROMAN (NPI# 1528031564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528031564 |
Entity Type | Individual |
Full Name | MR. DARRELL EUGENE GROMAN |
Credential | O.D. |
Practice Address |
204 Hilty Dr. Pandora OH 45877-0209 |
Mailing Address |
Po Box 209 204 Hilty Dr. Pandora OH 45877-0209 |
Practice Telephone | 4193843275 |
Practice Fax Number | 4193843285 |
Mailing Telephone | 4193843275 |
Mailing Fax Number | 4193843285 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2019-03-05 |
NPI Deactivation Date | 02/15/2018 |
NPI Reactivation Date | 2019-03-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
3800/794 | OH | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0597420 | 05 |
Street Address |
204 HILTY DR. |
City | PANDORA |
State | OH |
Zip Code | 45877-0209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710392261 | Emily Marie Kempf | Pharmacist | 112 E Main St., Pandora, OH 45877 | 2014-06-24 |
1013246941 | Pharmacy Management Solutions LLC | Pharmacy | 112 E Main St Suite B, Pandora, OH 45877 | 2009-12-24 |
1881928752 | Pandora Chiropractic, LLC | Chiropractor | 107 East Washington Street, Pandora, OH 45877 | 2009-09-25 |
1427109206 | Conkling's Pharmacy | Pharmacy | 112 East Main Street, Pandora, OH 45877 | 2007-01-16 |
1447516836 | C. Brad Pohl, Dmd, Inc. | Dentist | 108 N. Jefferson, Pandora, OH 45877 | 2012-04-10 |
1548778160 | Darrell E Groman Od LLC | Optometrist | 204 Hilty Drive, Pandora, OH 45877-0209 | 2018-01-17 |
1316103591 | Jennifer Leigh Rasmussen | Registered Nurse | 110 W Main St # 27, Pandora, OH 45877-5203 | 2008-08-06 |
1649731886 | Cassie Taber | Nurse Practitioner | 106 E Monroe St, Pandora, OH 45877-5208 | 2019-03-29 |
1699004515 | Pharmacy Management Solutions LLC | Pharmacy | 112 E Main St, Pandora, OH 45877-8706 | 2009-12-24 |
1447293717 | Conkling's Pharmacy | Pharmacy | 112 E Main St, Pandora, OH 45877-8706 | 2006-06-14 |
Find all providers in zip 45877 |
Taxonomy Code | 152WV0400X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Vision Therapy |
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. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548778160 | Darrell E Groman Od LLC | Optometrist | 204 Hilty Drive, Pandora, OH 45877-0209 | 2018-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922396381 | Allison A Henderson | Optometrist | 612 Central Ctr, Chillicothe, OH 45601 | 2011-07-19 |
1659401180 | Dr Patrick Henry Od LLC | Optometrist | 109 West Wayne St, Maumee, OH 43537-2150 | 2007-03-06 |
1962553735 | Donna Lynne Baldwin-mickey | Optometrist | 5600 Monroe Street, Building A, Suite 203, Sylvania, OH 43560-4356 | 2007-01-16 |
1396104873 | Family Health Services of Darke County, Inc. | Optometrist | 133 W Main St, Greenville, OH 45331-1401 | 2016-02-12 |
1134542236 | Mogyordy Therapy Clinic LLC | Optometrist | 26927 Detroit Rd, Westlake, OH 44145-2370 | 2014-01-24 |
1487880100 | Visual Experiences | Optometrist | 4244 Indian Ripple Rd, Dayton, OH 45440-3279 | 2009-06-09 |
1235397555 | Cheri J. Glaus, O.d., Inc. | Optometrist | 3725 Cleveland Massillon Rd, Suite 6, Norton, OH 44203-5614 | 2008-05-23 |
1780887968 | Primary Vision Care, Inc. | Optometrist | 926 N 21st St, Newark, OH 43055-2920 | 2007-06-06 |
1649320706 | Brenda Heike Montecalvo | Optometrist | 4248 Indian Ripple Rd, Dayton, OH 45440-3280 | 2007-01-11 |
1942365291 | Carmela Abraham | Optometrist | 616 E State St, Salem, OH 44460-2935 | 2006-12-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.