Alexander James Groth

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005121 Issued in MI

Practice address

850 W North St
Ste 104
Jackson, MI 49202-3196

Phone

(248) 647-9790

NPI assigned

Jun 13, 2018

Last updated

Aug 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agroth559380@direct.hfhs.org

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.

• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• Heidi Schefferly OD PLLC

  • Optometrist
  • Jackson, MI
  • NPI 1942466081
  Medicare reassignment NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD
• DRS. Ravin, Birndorf & Ravin, Inc.

  dba Specialty Eye Institute

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1316043110

  Optometrist

  NPD
• P-Cor LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Plymouth, MI
  • NPI 1104571074
  NPD (past)
• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214
  NPD (past)
• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • W Bloomfield, MI
  • NPI 1922274281
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1720571839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S HOUGHTON ST",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "248-647-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francessca Griscavage, BSW
• John Trevor Griswold, DC
• Griz Chiropractic LLC (Griz Chiropractic)
• Mary J Grogan, ACSW
• Rachel Marie Gross
• Jane Grover, DDS
• Palak Grover
• Amy Groves
• Patrick Grubba
• Daniel Robert Grutter, D.O.

• Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.