Individual
DR. MARK D ROEMMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 WOLF DEN DR, GREER, SC 29650-2985
(864) 630-4631
Mailing address
205 W BLACKSTOCK RD STE 150, SPARTANBURG, SC 29301-3205
(864) 574-8454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1010
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265408827
NPI
SC
05
—
D10101
—
SC
Enumeration date
02/24/2006
Last updated
09/24/2010
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