Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Paul Grohol, OD

Individual provider Optometrist · NPI 1447271473

Mark Paul Grohol, OD is an Optometry in Kingston, Pennsylvania. Graduated from Pennsylvania College of Optometry in 1995, 31 years ago. Practices with Vision Innovation Centers of Pennsylvania LLC, a 86-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

703 Rutter Ave
Kingston, PA 18704-4801
Phone: (570) 288-7405
Fax: (570) 288-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG000393 (PA)

Record details

NPI number1447271473
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESMarch 22, 2026
Certification dateMarch 22, 2026
Mailing address2661 Riva Rd Ste 1030, Annapolis, MD 21401-7131

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1995 (31 years in practice)
Group practice Vision Innovation Centers Of Pennsylvania Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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