Individual
MEGAN ALLISON ROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3726 AVENUE D, SCOTTSBLUFF, NE 69361-4665
(308) 635-1234
Mailing address
520 COLLEGE DR, TORRINGTON, WY 82240-1517
(307) 532-2060
(307) 532-5710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1521
NE
152W00000X
Optometrist
Primary
436T
WY
152W00000X
Optometrist
OEG003536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1521
STATE OF NEBRASKA
NE
05
—
1871155663
—
WY
01
—
436T
STATE OF WYOMING
WY
01
—
OEG003536
LICENSE
PA
Enumeration date
07/02/2019
Last updated
03/23/2023
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