Individual
DR. PHILIP M ROELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1601 BRENNER AVE, EYE CLINIC (11I), SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
316 SPRINGWATER CT, WINSTON SALEM, NC 27106-4487
(336) 588-4969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093R1
BCBS NC
NC
01
—
7833605
AETNA
NC
05
—
89093R1
—
NC
Enumeration date
12/13/2005
Last updated
05/02/2025
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