Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN GROENNERT, O.D.
ActiveJUSTIN GROENNERT, O.D. is a Optometrist healthcare provider located in LEBANON, Illinois. NPI 1083230585 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LEBANON, IL
Registration Details
- NPI Number
- 1083230585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2020 (6.1501875322219 yrs)
- Last Updated
- Jun 19, 2020
- License
-
046.011438 (IL)
Practice Information
- Address
-
201 W SAINT LOUIS STLEBANON, IL, 622541515Browse IL providers · Browse ZIP 62254
- Phone
- 6185376356
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LEBANON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHARISSA LEE THORPE | O.D. | 1740225994 |
| ROBERT JOSEPH KLINSKY | O.D. | 1568407716 |
| DR. CLAIRE M KLINSKY | O.D. | 1508121344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.