| Edward Grout, OD | |
|
134 Falcon Dr, Green Cove Springs, FL 32043-6535 | |
| (904) 443-3500 | |
| (904) 443-1783 |
| Full Name | Edward Grout |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 134 Falcon Dr, Green Cove Springs, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467990747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 922 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 2978 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Grout, OD 134 Falcon Dr, Green Cove Springs, FL 32043-6535 Ph: (904) 443-3500 | Edward Grout, OD 134 Falcon Dr, Green Cove Springs, FL 32043-6535 Ph: (904) 443-3500 |
Dr. John Michael Aimino, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2364 Jennie Lane, Green Cove Springs, FL 32043 Phone: 904-529-9332 | |
Dortheanne J. Roberts, Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 401 Bay St, Green Cove Springs, FL 32043 Phone: 904-529-9062 |