Individual
DR. JAMES GREGORY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
619 W CHICKASHA AVE, CHICKASHA, OK 73018-2413
(405) 224-5342
Mailing address
PO BOX 1599, CHICKASHA, OK 73023-1599
(405) 224-5342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2141
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762770A
—
OK
Enumeration date
08/01/2006
Last updated
02/09/2012
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