Organization
GLENN K. ROTER, OD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN K. ROTER O.D. (PRESIDENT)
(702) 368-0092
Entity
Organization
Contact information
Practice address
5200 S FORT APACHE RD, LAS VEGAS, NV 89148-1722
(702) 368-0092
(702) 368-0097
Mailing address
5200 S FORT APACHE RD, LAS VEGAS, NV 89148-1722
(702) 368-0092
(702) 368-0097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV 411
NV
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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