Organization
GROAT EYECARE ASSOCIATES, P.A.
Active
Other names
Robert L. Groat, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LANIER GROAT M.D. (PRESIDENT)
(336) 378-1442
Entity
Organization
Contact information
Practice address
1317 N ELM ST, SUITE 4, GREENSBORO, NC 27401-1033
(336) 378-1442
(336) 378-1970
Mailing address
1317 N ELM ST, SUITE 4, GREENSBORO, NC 27401-1033
(336) 378-1442
(336) 378-1970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011FJ
BLUE CROSS BLUE SHIELD
NC
01
—
623
PARTNERS
NC
05
—
89011FJ
—
NC
Enumeration date
07/15/2006
Last updated
08/21/2007
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