George Albert Roebuck in Morris - Optometrist
George Albert Roebuck - NPI 1720094287
George Albert Roebuck is a Optometrist in Morris, Illinois. George Albert Roebuck practices all healthcare services and medical treatments related to Optometrist. The NPI Number for George Albert Roebuck is 1720094287. The last update date is 2014-09-16.
George Albert Roebuck's current location address is 113 E Jefferson St, Morris, Illinois. You can contact this provider via phone number 8159421951 and fax number 8159421958. The mailing address for George Albert Roebuck is 113 E Jefferson St, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Albert Roebuck |
|---|---|
| Address | 113 E Jefferson St, Morris, Illinois |
| Phone Number | 8159421951 |
| Fax Number | 8159421958 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1720094287 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2014-09-16 |
Provider Mailing Address Detail
| Address | 113 E Jefferson St |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604502101 |
| Phone Number | 8159421951 |
| Fax Number | 8159421958 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 046-007227 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3084002 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the George Albert Roebuck's 1720094287?
The George Albert Roebuck's NPI (National Provider Identifier) Number is 1720094287. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of George Albert Roebuck?
The George Albert Roebuck is situated at 113 E Jefferson St, in the city of Morris, state of IL, with the zip code 604502101.
What is George Albert Roebuck's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for George Albert Roebuck is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the George Albert Roebuck receive its 1720094287 assignment from the Centers for Medicare & Medicaid Services?
The George Albert Roebuck was assigned its 1720094287 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date was the information pertaining to George Albert Roebuck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to George Albert Roebuck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-16.