Individual
DR. GARY ARTHUR ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236390001
PALMETTO DMERC
NC
01
—
09775
BCBS
NC
01
—
15906
PARTNERS
NC
01
—
2209268
UNITED HEALTHCARE
NC
05
—
8909775
—
NC
Enumeration date
07/19/2005
Last updated
11/20/2014
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