Organization
MICHAEL L. ROETMAN, O.D.P.C.
Active
Other names
Family Eye & Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE ROETMAN O.D. (OWNER)
(712) 472-3464
Entity
Organization
Contact information
Practice address
502 1ST AVE, ROCK RAPIDS, IA 51246-1014
(712) 472-3464
(712) 472-2788
Mailing address
502 1ST AVE, ROCK RAPIDS, IA 51246-1014
(712) 472-3464
(712) 472-2788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1754
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114165
—
IA
Enumeration date
05/10/2007
Last updated
05/01/2014
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