Benjamin Randall Groth, O.D.

Optometrist · Omaha, NE

Individual Active NPI

NPI number 1073008314

Practice location

6751 N 72ND St Ste 105
Omaha, NE 68122-1746
Phone
(402) 572-2020
Fax
(402) 572-2150

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NPI record

NPI
1073008314
Entity type
Individual (Type 1)
Enumeration date
June 28, 2018
Last updated
May 19, 2021
Certified
April 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1530 NE
Optometrist 152W00000X 091798 IA

Other practice locations (4)

  • 1540 Spring Valley Dr, Huntington, WV 25704-9300 · (304) 429-6741
  • 1540 Spring Valley Dr, Huntington, WV 25704-9300 · (304) 429-6741
  • 6751 N 72nd St Ste 105, Omaha, NE 68122-1746 · (402) 572-2020
  • 576 Boyson Rd NE Ste 104, Cedar Rapids, IA 52402 · (319) 373-3737

About Dr. Groth

Benjamin Randall Groth, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 6751 N 72ND St Ste 105, Omaha, NE 68122-1746. The NPI number 1073008314 was assigned on June 28, 2018 and the record was last updated on May 19, 2021.

Dr. Groth lists 2 licenses in the registry: #1530 (NE) for Optometrist; #091798 (IA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Randall Groth, O.D.?

The NPI number is 1073008314.

What is the phone number of Dr. Groth?

The phone number listed for the practice location is (402) 572-2020.

Where is Dr. Groth located?

6751 N 72ND St Ste 105, Omaha, NE 68122-1746.

What is the taxonomy code for Dr. Groth?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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