Lisa A. Groth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03365 Issued in MO

Practice address

4000 S Bolger Rd
Independence, MO 64055-6776

Phone

(816) 478-3699

Fax

(816) 478-3692

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Eyecare Metro North Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1568513836
  NPD (past)
• Professional Eyecare Zona Rosa Inc.

  • Optometrist
  • Kansas City, MO
  • NPI 1336291913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033225677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 ALDEN ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164681",
            "telephone_number": "913-314-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S BOLGER RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556776",
            "telephone_number": "816-478-3699",
            "fax_number": "816-478-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03365",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5402T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Griffitt, PTA
• Samantha Griggs, MS, LPC
• Steven Thomas Griggs
• Christopher Scott Michael Grimes, PSY.D.
• Monika Rachael Grosshart, NP
• Jessee Groves
• Erick J Guerra, MD
• Sybil M. Guliford, LCSW
• Anthony J. Gunn, M.D.
• Miranda J Gunn, MA, LPC

• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.