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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861409021 NPPES
Oklahoma MEDICAID 100762770A

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