Individual
DR. ROGER PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 GOODLETTE-FRANK RD N UNIT 200, NAPLES, FL 34103-4607
(239) 418-0999
Mailing address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(239) 418-0999
(239) 418-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
507
NV
152W00000X
Optometrist
Primary
OPC5150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015917600
—
FL
01
—
OPC5150
FLORIDA LICENSE
FL
Enumeration date
01/31/2007
Last updated
11/26/2024
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