Individual
DR. LES S ROSENBERG
Active
Individual
DR. LES S ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132612
ANTHEM BC/BS
OH
05
—
0471958
—
OH
01
—
341486219
ANTARES
OH
01
—
580001910
MEDICARE RAILROAD
OH
Enumeration date
03/16/2006
Last updated
04/29/2008
Update your record
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