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Contact Information

ROGER M ALLYN, OD
1170 HWY 170
LA PLATA, NM87418-0269
 Phone: 505-325-2472
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROGER M ALLYN · (Male)

NPI Number 1093979874
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/11/2008
Last updated 07/11/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 2219 OP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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