Individual
TRUDY L ROHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001210
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009206060
—
VA
01
—
106329
ANTHEM BC BS
VA
Enumeration date
01/24/2007
Last updated
05/01/2020
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