Organization Active NPI

Groom Eye Center PLC

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1487853321
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME65790 Issued in FL
Legal business name
GROOM EYE CENTER PLC
Practice address
3455 Pine Ridge Rd
Naples, FL 34109-3824
Phone
(239) 597-5700
Fax
(239) 597-3500
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Mimi Groom, M.D.
Title
Owner
Phone
(239) 597-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME65790 FL Primary

Addresses

Primary practice location

3455 Pine Ridge Rd
Naples, FL 34109-3824

Mailing address

3455 Pine Ridge Rd
Naples, FL 34109-3824
Phone (239) 597-5700

National Provider Directory

National Provider Directory

Locations

1112 Goodlette Rd
Ste 202
Naples, FL 34102
Phone (239) 262-5662

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1487853321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093824",
            "telephone_number": "239-597-5700",
            "fax_number": "239-597-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093824",
            "telephone_number": "239-597-5700",
            "fax_number": "239-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOM EYE CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "GROOM",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-597-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME65790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.