Grover Vision, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2527 Issued in OK

Legal business name

GROVER VISION, PLLC

Practice address

7110 S Mingo Rd
#108
Tulsa, OK 74133-3269

Phone

(918) 252-0438

Fax

(918) 250-0422

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alan Dale Grover, O.D.

Title

President

Phone

(918) 252-0438

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grover Vision Center Doing business as

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1730312174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 S MINGO RD",
            "address_2": "#108",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333269",
            "telephone_number": "918-252-0438",
            "fax_number": "918-250-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 S MINGO RD",
            "address_2": "#108",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333269",
            "telephone_number": "918-252-0438",
            "fax_number": "918-250-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVER VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-252-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "2527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grover Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Mary Gross
• Nicole R. Gross
• Jennifer Grosso, BS
• Group Practice Associates, Inc.
• Grove Neurological Services, LLC
• Jessica Nicole Groves
• John E Groves, DDS
• Josiah August Groves
• Lindsey Lane Groves, ARNP, FNP-BC
• Stephen W Groves, MD

• Primary Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.