Individual
DR. JAMES J ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
709 1ST AVE S, BOX 437, ESTHERVILLE, IA 51334-2352
(712) 362-5822
(712) 362-4213
Mailing address
709 1ST AVE S, BOX 437, ESTHERVILLE, IA 51334-2352
(712) 362-5822
(712) 362-4213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1507
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082651
—
IA
01
—
0663440001
DURABLE MED
—
05
—
200857740A
—
IN
01
—
214L1R0
BC OF MN
—
05
—
42137593300
—
NE
05
—
464223600
—
MN
01
—
86635R0
BC OF MN
—
05
—
9201620
—
SD
Enumeration date
09/01/2005
Last updated
03/06/2014
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