Individual
ROBERT W ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-1671
(724) 539-1654
Mailing address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-1671
(724) 539-1654
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG001241
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008463350001
—
PA
05
—
0008463350003
—
PA
05
—
0008463350004
—
PA
05
—
0008463350005
—
PA
01
—
P00433387
RAILROAD MEDICARE PTAN
PA
Enumeration date
01/30/2006
Last updated
03/20/2015
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