Individual
ROGER W ALBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
915 OLD FERN HILL RD, BUILDING B SUITE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 918-0803
Mailing address
915 OLD FERN HILL RD, BUILDING B SUITE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 918-0803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000296
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001761662
—
PA
05
—
0017616620002
—
PA
Enumeration date
07/28/2005
Last updated
04/23/2010
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