NPIMap

Organization Active NPI

Grover Optical LLC

  • Optometrist
  • Gowanda, NY
National Provider Identifier
1386264307
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GROVER OPTICAL LLC
Practice address
6 E Main St
Gowanda, NY 14070-1208
Phone
(716) 532-2396
Fax
(716) 532-2701
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Mr. Allan Michael Grover, OPTICIANNPI 1679108526
Title
Owner
Phone
(716) 532-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6 E Main St
Gowanda, NY 14070-1208

Mailing address

6 E Main St
Gowanda, NY 14070-1208
Phone (716) 532-2396

Other names 1

  • Gowanda Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

6 E Main St
Gowanda, NY 14070
Phone (716) 532-2396

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1386264307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701208",
            "telephone_number": "716-532-2396",
            "fax_number": "716-532-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701208",
            "telephone_number": "716-532-2396",
            "fax_number": "716-532-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVER OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-532-2396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gowanda Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gowanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.