Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexander James Groth

Individual provider Optometrist · NPI 1720571839

Alexander James Groth is an Optometry in Jackson, Michigan. Qualified in 2018, 8 years ago. Practices with P-Cor LLC, a 83-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

850 W North St Ste 104
Jackson, MI 49202-3196
Phone: (248) 647-9790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005121 (MI)

Record details

NPI number1720571839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESAugust 7, 2019
Mailing address328 S Houghton St, Milford, MI 48381-2414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice P-Cor Llc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson