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Individual

DR. FRANK ERNEST ROOFE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
509 E LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 276-9256
(910) 276-9254
Mailing address
509 E LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 276-9256
(910) 276-9254

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1022
NC
152WC0802X
Corneal and Contact Management Optometrist
1022
NC
152WL0500X
Low Vision Rehabilitation Optometrist
1022
NC
152WP0200X
Pediatric Optometrist
1022
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09773
NC BCBS
NC
01
20-5212044
EMPLOYER IDENTIFICATION N
NC
01
410047692
RAILROAD MEDICARE
NC
01
561288835
FEDERAL ID#
NC
05
8909773
NC
Enumeration date
07/19/2005
Last updated
12/03/2013
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