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Contact Information

DAVID L ROBERTS O D P C
2110 N BROADWAY ST
POTEAU, OK74953-2501
 Phone: 918-647-3284
 Fax: 918-647-3394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DAVID L ROBERTS O D P C · (Female)

NPI # 1942499660
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2007
Last updated 07/29/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 781
  • OK Medicaid 100761880A
  • Other 731508474953A001 TRICARE
  • OK Other 441409440001 BCBS
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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