Individual
DR. DENNIS O ROARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 399-4101
(937) 399-2346
Mailing address
313 W HOME RD, SPRINGFIELD, OH 45504-1018
(937) 399-1866
(937) 399-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340280
INDIVIDUAL
OH
05
—
0239665
—
OH
01
—
10943
CORDINATED VISION CARE
OH
01
—
200806361028
CARESOURCE
OH
01
—
2220144
UNITED HEALTH CARE
OH
01
—
919227
INDIVIDUAL
OH
Enumeration date
06/13/2005
Last updated
07/09/2007
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