Individual
DR. ROGER G NEWTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11500 GRANADA ST, LEAWOOD, KS 66211-1453
(816) 478-1230
(816) 350-6980
Mailing address
4801 S CLIFF AVE, SUITE 100, INDEPENDENCE, MO 64055-7015
(816) 478-1230
(816) 478-4413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11403
KS
152W00000X
Optometrist
T02174
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410036670
RAILROAD MEDICARE
—
Enumeration date
08/23/2005
Last updated
12/20/2011
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