Jeremy D. Roach, O.d., P.c.

  • 1174749386 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Jeremy D. Roach, O.d., P.c. is 1174749386 and actived since Tuesday, April 17 2007. Jeremy D. Roach, O.d., P.c. is an Organization provider specializes in Optometrist. Provider information was last updated on 06/24/2010.

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Overview of Jeremy D. Roach, O.d., P.c.

  • NPI number: 1689218646
  • Provider type: Organization
  • Specialty: Optometrist
  • Active since: 04/17/2007
  • Last updated: 06/24/2010

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2316
  • License State: OK

Provider Mailing Address

  • Address: 113 N Broadway St
    Stigler, OK 74462
  • Phone: 918-967-4424
  • Fax: 918-967-2278

Provider Practice Location

  • Address: 113 N Broadway St
    Stigler, OK 74462
  • Phone: 918-967-4424
  • Fax: 918-967-2278

Authorized Official

  • Name: DR. Jeremy D Roach O.D.
  • Position/Title: President Owner
  • Telephone Number: 918-967-4424

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2316
  • License State: OK
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100762800-A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Jeremy D. Roach, O.d., P.c.?
  • A: The npi number for Jeremy D. Roach, O.d., P.c. is 1174749386.
  • Q: What are Jeremy D. Roach, O.d., P.c.'s specialties?
  • A: Jeremy D. Roach, O.d., P.c.'s specialties are Optometrist and different specialities.
  • Q: Where is Jeremy D. Roach, O.d., P.c. business practice location?
  • A: Jeremy D. Roach, O.d., P.c. business practice location is 113 N Broadway St, Stigler, OK 74462.
  • Q: How to contact Jeremy D. Roach, O.d., P.c.?
  • A: You can contact Jeremy D. Roach, O.d., P.c. via 918-967-4424.
  • Q: What is the authorized official for Jeremy D. Roach, O.d., P.c.?
  • A: The authorized office name is DR. Jeremy D Roach O.D. with position/title is President Owner and you can reach the authorized official via phone number 9189674424.