Roberson, James Gregory
Roberson, James Gregory is an individual health care provider with primary practice located at 619 W Chickasha Ave , Chickasha OK 73018-2413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roberson, James Gregory can be contacted via phone (405) 224-5342.Contact Information
Primary practice address
619 W Chickasha Ave
Chickasha OK 73018-2413
Phone: (405) 224-5342
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2141 | Oklahoma |
Profile Details
NPI number | 1861409021 |
---|---|
LBN Legal business name | Roberson, James Gregory |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Feb 9th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861409021 | NPPES |
Oklahoma | MEDICAID | 100762770A |
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