Groves, Gregory A
Groves, Gregory A is an individual health care provider with primary practice located at 107 Doctors Dr , Bridgeport WV 26330-1720. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Groves, Gregory A can be contacted via phone (304) 842-6226.Contact Information
Primary practice address
107 Doctors Dr
Bridgeport WV 26330-1720
Phone: (304) 842-6226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 722OD | West Virginia |
Profile Details
| NPI number | 1386714889 |
|---|---|
| LBN Legal business name | Groves, Gregory A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jan 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386714889 | NPPES |
| West Virginia | MEDICAID | 0150773000 |
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