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William Martin Grovenburg, OD

Optometrist in Collinsville, OK. Individual provider (NPI-1).

NPI number1336820547
StatusActive
Last updated in NPPESFeb 20, 2026

Details

NPI
1336820547
Entity type
Individual (NPI-1)
Name
William Martin Grovenburg
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 31, 2023
Certification date
Feb 20, 2026
Last updated
Feb 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3225OKYes

Practice location

1103 W Center St
Collinsville, OK 74021-3108

Phone 918-371-3339 · Fax 918-371-9600

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Phone 703-847-8899 · Fax 571-223-6780

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Other Optometrist providers in Collinsville, OK

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