Dr. BENJAMIN RANDALL GROTH O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1073008314- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 6751 N 72ND ST STE 105, OMAHA, NE, 681221746
- Phone
- (402) 572-2020
- Fax
- (402) 572-2150
Specialties & Taxonomies
Optometrist
License: IA #091798
Optometrist
Primary License: NE #1530