Groman, Darrell Eugene

Groman, Darrell Eugene is an sole proprietor health care provider with primary practice located at 204 Hilty Dr. , Pandora OH 45877-0209. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Groman, Darrell Eugene can be contacted via phone (419) 384-3275.

Contact Information

Primary practice address
204 Hilty Dr. Pandora OH 45877-0209
Fax: (419) 384-3285
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 3800/794 Ohio

Profile Details

NPI number 1528031564
LBN Legal business name Groman, Darrell Eugene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Mar 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528031564 NPPES
Ohio MEDICAID 0597420

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