Individual
RICHARD E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
717 OKOMA DRIVE, OMAK, WA 98841
(509) 826-1191
(509) 826-1192
Mailing address
PO BOX 3027, WENATCHEE, WA 98807-3027
(509) 662-7143
(509) 665-4301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00002019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013324
—
WA
Enumeration date
11/11/2005
Last updated
11/13/2017
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