NPI 1033225677

Lisa A. Groth, OD

Practitioner Optometrist Independence, MO

Practice location

Address: 4000 S Bolger Rd, Independence, MO 64055-6776
Phone: (816) 478-3699
Fax: (816) 478-3692
Mailing address: 5521 Alden St, Shawnee, KS 66216-4681

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T03365 (MO)

Other Optometrist providers in Missouri →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5402T (TX)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3340 (WA)

Registry record

NPI: 1033225677
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.