DR. Benjamin Randall Groth, O.D.

NPI #1073008314 in Omaha, Nebraska

Provider Information

NPI Number: 1073008314
Entity Type: Individual
Name: DR. Benjamin Randall Groth, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 28, 2018
Last Updated: May 19, 2021

Practice Location

Address: 6751 N 72ND ST STE 105
City: Omaha
State: Nebraska
ZIP Code: 68122-1746
Phone: (402) 572-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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