Organization
JAMES GROVE & ASSOCIATES, LLC
Active
Other names
Associates in Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GROVE O.D. (OWNER)
(937) 653-5228
Entity
Organization
Contact information
Practice address
303 N MAIN ST, URBANA, OH 43078-1605
(937) 653-5228
(937) 653-5158
Mailing address
303 N MAIN ST, P,O, BOX 70, URBANA, OH 43078-1605
(937) 653-5228
(937) 653-5158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2767528
—
OH
01
—
JA9370031
MEDICARE GROUP NUMBER
OH
Enumeration date
05/31/2007
Last updated
06/26/2008
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