Individual
DR. JOHN PETER ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 ARCH ST, PHILADELPHIA, PA 19107-3011
(215) 238-1444
Mailing address
1030 ARCH ST, PHILADELPHIA, PA 19107-3011
(215) 238-1444
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG001966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593670
PA BLUE CROSS/BLUE SHIELD
PA
Enumeration date
09/30/2005
Last updated
07/28/2016
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