Michael K Grofik Od Pa
LBN: Michael K Grofik Od Pa
Michael K Grofik Od Pa is an health care organization with primary practice located at 278 N Wickham Rd , Melbourne FL 32935-8625. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Michael K Grofik Od Pa can be contacted via phone (321) 253-9228, or through Grofik, Michael Kenneth via phone (321) 253-9228.
Contact Information
Primary practice address
278 N Wickham Rd
Melbourne FL 32935-8625
Phone: (321) 253-9228
Fax: (321) 253-9446
Website:
Authorized official contact:
Name: Grofik, Michael Kenneth Doctor of Optometry (OD)
Phone: (321) 253-9228
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1649 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC1649 | Florida |
Profile Details
| NPI number | 1295040202 |
|---|---|
| LBN Legal business name | Michael K Grofik Od Pa |
| DBA Doing business as | |
| Authorized official | Grofik, Michael Kenneth Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2010 |
| Last updated | Jul 16th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295040202 | NPPES |
| Florida | MEDICAID | 078222000 | |
| Florida | Other | DT7408 |
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