Organization
DR GEORGE T ROBERTS OPTOMETRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHI J ROBERTS (PRACTICE ADMINISTRATOR)
(607) 563-7551
Entity
Organization
Contact information
Practice address
75 MAIN ST, SIDNEY, NY 13838-1138
(607) 563-7551
(607) 563-2442
Mailing address
75 MAIN ST, SIDNEY, NY 13838-1138
(607) 563-7551
(607) 563-2442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02738127
—
NY
Enumeration date
12/18/2006
Last updated
07/05/2012
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