Justin Groennert, O.D.

NPI #1083230585 in Lebanon, Illinois

Provider Information

NPI Number: 1083230585
Entity Type: Individual
Name: Justin Groennert, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 201 W SAINT LOUIS ST
City: Lebanon
State: Illinois
ZIP Code: 62254-1515
Phone: (618) 537-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Lebanon Optometric Center, LLC	Optometrist	Lebanon	AI Deep Dive

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