Roberts, Roger D
Roberts, Roger D is an individual health care provider with primary practice located at 745 E Joyce Blvd Ste 124 , Fayetteville AR 72703-6391. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roberts, Roger D can be contacted via phone (795) 829-1194.Contact Information
Primary practice address
745 E Joyce Blvd Ste 124
Fayetteville AR 72703-6391
Phone: (795) 829-1194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4019 | Arkansas |
Profile Details
| NPI number | 1003885138 |
|---|---|
| LBN Legal business name | Roberts, Roger D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 4th, 2023 - about last year |
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 | 1003885138 | NPPES |
| Illinois | MEDICAID | 046007739 |
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