Organization
GROOM VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI GROOM (OWNER/PHYISICIAN)
(239) 597-5700
Entity
Organization
Contact information
Practice address
3455 PINE RIDGE RD, NAPLES, FL 34109-3824
(239) 597-5700
(239) 597-3500
Mailing address
3455 PINE RIDGE RD, NAPLES, FL 34109-3824
(239) 597-5700
(239) 597-3500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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