Organization
DARRELL E GROMAN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL EUGENE GROMAN (SOLE OWNER)
(419) 384-3275
Entity
Organization
Contact information
Practice address
204 HILTY DRIVE, PANDORA, OH 45877-0209
(409) 384-3275
(419) 384-3285
Mailing address
204 HILTY DRIVE, P.O. BOX 209, PANDORA, OH 45877-0209
(419) 384-3275
(419) 384-3285
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0597420
—
OH
Enumeration date
01/17/2018
Last updated
09/12/2018
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