| Dr Randy Grover, OD | |
|
9300 Nw 77th Ave, Hialeah Gardens, FL 33140 | |
| (305) 828-8393 | |
| Not Available |
| Full Name | Dr Randy Grover |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 9300 Nw 77th Ave, Hialeah Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871564575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 3543 (Florida) | Primary |
| Provider Name | Randy A Grover O D & Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629285564 PECOS PAC ID: 5496764425 Enrollment ID: O20060419000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Grover, OD 5700 Collins Ave, #11-h, Miami Beach, FL 33140 Ph: () - | Dr Randy Grover, OD 9300 Nw 77th Ave, Hialeah Gardens, FL 33140 Ph: (305) 828-8393 |
Bm Zoom Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9160 Nw 122nd St Unit 28, Hialeah Gardens, FL 33018 Phone: 305-512-4408 | |
David S Forrest Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11300 Nw 87th Ct, #115, Hialeah Gardens, FL 33018 Phone: 305-332-5332 | |
Randy A Grover O D & Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 9300 Nw 77th Ave, Hialeah Gardens, FL 33016 Phone: 305-828-8393 Fax: 305-828-8393 |