Individual
DR. FRANK ERNEST ROOFE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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