Individual
DANIEL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
631 N FREDERICK AVE, GAITHERSBURG, MD 20879-3306
(301) 330-4972
(301) 330-4369
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1507
MD
Other
Enumeration date
12/06/2006
Last updated
07/06/2021
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