Organization
GROAT EYECARE ASSOCIATES, P.A.
Active
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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