# DARRELL E GROMAN OD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548778160
- **Authorized official:** DARRELL EUGENE GROMAN (SOLE OWNER)
- **Authorized official phone:** (419) 384-3275

## Contact information

- **Practice address:** 204 HILTY DRIVE, PANDORA, OH 45877-0209
- **Practice address phone:** (409) 384-3275
- **Practice address fax:** (419) 384-3285
- **Mailing address:** 204 HILTY DRIVE, P.O. BOX 209, PANDORA, OH 45877-0209
- **Mailing address phone:** (419) 384-3275
- **Mailing address fax:** (419) 384-3285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | Yes |
| 152WV0400X | Vision Therapy Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2018
- **Last updated:** 09/12/2018