Individual
DR. WILLIAM DOUGLAS ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09776
BCBS
NC
01
—
410004244
RAILROAD MEDICARE
NC
05
—
7909776
—
NC
01
—
83700
SPECTERA
—
Enumeration date
12/08/2005
Last updated
11/17/2011
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