Groshart Eye Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

185T Issued in WY

Legal business name

GROSHART EYE CLINIC PC

Practice address

25 E Grinnell PLZ
Sheridan, WY 82801-3930

Phone

(307) 674-7611

Fax

(307) 672-7777

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew E Groshart, O.D.

Title

Owner

Phone

(307) 674-7611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1730149352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828010786",
            "telephone_number": "307-674-7611",
            "fax_number": "307-672-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E GRINNELL PLZ",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013930",
            "telephone_number": "307-674-7611",
            "fax_number": "307-672-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSHART EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "GROSHART",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-674-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "185T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104138000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Leola Green
• David Gretz, PHD
• Griffin Air Amblance LLC
• Grinnell Street Dental Group
• Griz-MTN Enterprises LLC
• Matthew E Groshart, O.D.
• Stephen Fraser Groshart
• Sierra Dawn Gross, M.D.
• Matthew Aiah Grovenstein
• Taira Katherine Guyer, DDS

• All providers in Sheridan, WY
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.