Active NPI
Lori L. Grover, O.D.
- Low Vision Rehabilitation Optometrist
- Mesa, AZ
National Provider Identifier
1124018916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 1332
- Practice address
- 1520 S Dobson Rd
Mesa, AZ 85202-4725 - Phone
- (480) 890-0468
- Fax
- (480) 835-0912
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1332 | AZ | Primary |
Addresses
Primary practice location
1520 S Dobson Rd
Mesa, AZ 85202-4725
Mailing address
1250 E Dobson Rd
Mesa, AZ 85202-4726
Phone (480) 890-0468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4283 | OH | MD | Psychologist |
| 1332 | AZ | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation for Blind Children | Past | Accepting new patients | |
| Robert J Maynard OD PC | Past | Accepting new patients | |
| DSH OD, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Phoenix, AZ
- NPI 1316368509
-
- Voluntary or Charitable Agency
- Phoenix, AZ
- NPI 1134312614
-
- Corneal and Contact Management Optometrist
- Phoenix, AZ
- NPI 1407960008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124018916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 E DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024726",
"telephone_number": "480-890-0468",
"fax_number": "480-835-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024725",
"telephone_number": "480-890-0468",
"fax_number": "480-835-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "LORI",
"middle_name": "L.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "AZ",
"license": "1332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- 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.