Organization
ROBERT D ROLEN III OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ROLEN O.D. (OPTOMETRIST)
(541) 567-1837
Entity
Organization
Contact information
Practice address
115 W HERMISTON AVE STE 130, HERMISTON, OR 97838-1762
(541) 567-1837
(541) 289-2022
Mailing address
115 W HERMISTON AVE STE 130, HERMISTON, OR 97838-1762
(541) 567-1837
(541) 289-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1795ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150839
—
OR
01
—
48267
BXBS
OR
Enumeration date
08/23/2011
Last updated
11/14/2011
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