Boltz, Roger

Boltz, Roger is an individual health care provider with primary practice located at 4901 Calhoun Rd , Houston TX 77204-2020. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boltz, Roger can be contacted via phone (713) 743-2020.

Contact Information

Primary practice address
4901 Calhoun Rd Houston TX 77204-2020
Phone: (713) 743-2020
Fax: (713) 743-0963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2128T Texas
Eye and Vision Services Providers / Optometrist 152W00000X 2128TG Texas

Profile Details

NPI number 1316940950
LBN Legal business name Boltz, Roger
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Oct 27th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316940950 NPPES
Texas MEDICAID 112409104

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