Organization
GROVER VISION, PLLC
Active
Other names
Grover Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DALE GROVER O.D. (PRESIDENT)
(918) 252-0438
Entity
Organization
Contact information
Practice address
7110 S MINGO RD, #108, TULSA, OK 74133-3269
(918) 252-0438
(918) 250-0422
Mailing address
7110 S MINGO RD, #108, TULSA, OK 74133-3269
(918) 252-0438
(918) 250-0422
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2527
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227160A
—
OK
Enumeration date
09/02/2009
Last updated
01/19/2017
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