# GROOM VISION CENTER

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

## Provider details

- **NPI number:** 1912210006
- **Authorized official:** MIMI GROOM (OWNER/PHYISICIAN)
- **Authorized official phone:** (239) 597-5700

## Contact information

- **Practice address:** 3455 PINE RIDGE RD, NAPLES, FL 34109-3824
- **Practice address phone:** (239) 597-5700
- **Practice address fax:** (239) 597-3500
- **Mailing address:** 3455 PINE RIDGE RD, NAPLES, FL 34109-3824
- **Mailing address phone:** (239) 597-5700
- **Mailing address fax:** (239) 597-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 07/19/2010