Individual
DR. ROGER M PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
159 E MAIN ST, SUITE F, LEHI, UT 84043-2288
(801) 766-1696
(801) 766-1822
Mailing address
159 E MAIN ST, SUITE F, LEHI, UT 84043-2288
(801) 766-1696
(801) 766-1822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4776849-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290672
ALTIUS HEALTH PLANS
—
01
—
47768499900001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
09/01/2005
Last updated
04/20/2008
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