Individual
DR. JACK D GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040
(661) 833-6721
Mailing address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040
(661) 833-6721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4350 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0043500
—
CA
Enumeration date
03/17/2006
Last updated
11/01/2024
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