DR. BENJAMIN RANDALL GROTH (NPI# 1073008314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073008314 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN RANDALL GROTH |
| Credential | O.D. |
| Practice Address |
576 Boyson Rd Ne Ste 104 Cedar Rapids IA 52402 |
| Mailing Address |
576 Boyson Rd Ne Ste 104 Cedar Rapids IA 52402-7363 |
| Practice Telephone | 3193733737 |
| Mailing Telephone | 3193733737 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 091798 | IA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1540 Spring Valley Dr, Huntington, WV 257049300 | 3044296741 |
| Street Address |
576 BOYSON RD NE STE 104 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| 1457564916 | Mary Beth Peterson | Pharmacist | Hy-vee Drugstore #7026, 2001 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402 | 2007-05-08 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437262 | Taylor Neumann | Optometrist | 4801 1st Ave Se, Cedar Rapids, IA 52402-3213 | 2016-06-06 |
| 1982086286 | Shannon Verwoert | Optometrist | 4625 Blarney Dr, Cedar Rapids, IA 52411-8015 | 2015-06-23 |
| 1073800363 | Daniel R Wolfe Od PC | Optometrist | 2501 Woodhill Dr Sw, Cedar Rapids, IA 52404-3371 | 2011-07-07 |
| 1871746099 | Iowa Eyecare PC | Optometrist | 510 10th St Se, Cedar Rapids, IA 52403-1207 | 2008-10-31 |
| 1124282637 | Spanda Inc | Optometrist | 3235 Williams Parkway Sw Ste 1, Cedar Rapids, IA 52404-1427 | 2008-07-14 |
| 1679788798 | B K Buchman | Optometrist | 182 Jacolyn Dr Nw, Cedar Rapids, IA 52405-4202 | 2007-05-11 |
| 1730265117 | Fetters Family Eyecare PC | Optometrist | 2600 Edgewood Rd Sw Ste 376, Cedar Rapids, IA 52404-3277 | 2006-10-28 |
| 1598867020 | Barbara Theresa Washburn | Optometrist | 4330 Czech Ln Ne, Cedar Rapids, IA 52402-2334 | 2006-09-04 |
| 1376584490 | Robert Merle Livin | Optometrist | 860 2nd Ave Se, Ste. B, Cedar Rapids, IA 52403-2460 | 2006-06-09 |
| 1922088038 | Sam Chadwell Kang | Optometrist | 3601 29th Ave Sw, Cedar Rapids, IA 52404-3109 | 2006-01-17 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on DR. BENJAMIN RANDALL GROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.