Individual
DR. WILLIAM DON ROSCOE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14215 US HWY 64 WEST, SILER CITY, NC 27344
(919) 663-3033
(919) 742-4698
Mailing address
PO BOX 544, SILER CITY, NC 27344
(919) 663-3033
(919) 742-4698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05526
SPECTERA
—
01
—
2280129
MEDICARE COMPLETE
—
01
—
51365
DAVIS VISION
—
01
—
561378754
SUPERIOR
—
05
—
8909789
—
NC
Enumeration date
06/15/2006
Last updated
05/09/2011
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