| Randy A Grover O D & Associates Inc | |
|
9300 Nw 77th Ave, Hialeah Gardens, FL 33016-2504 | |
| (305) 828-8393 | |
| (305) 828-8393 |
| Full Name | Randy A Grover O D & Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9300 Nw 77th Ave, Hialeah Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629285564 | NPI | - | NPPES |
| 621131300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 3543 (Florida) | Primary |
| Provider Name | Randy A Grover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871564575 PECOS PAC ID: 8022027051 Enrollment ID: I20060420000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy A Grover O D & Associates Inc 801 Ne 191st Ter, Miami, FL 33179-3976 Ph: (786) 338-3272 | Randy A Grover O D & Associates Inc 9300 Nw 77th Ave, Hialeah Gardens, FL 33016-2504 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 | |
Dr. Randy Grover, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9300 Nw 77th Ave, Hialeah Gardens, FL 33140 Phone: 305-828-8393 |