Organization
GARY A. ROACH, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ARTHUR ROACH O.D. (PRESIDENT)
(704) 663-3924
Entity
Organization
Contact information
Practice address
404 E CENTER AVE, MOORESVILLE, NC 28115-2544
(704) 663-3924
(704) 663-7057
Mailing address
404 E CENTER AVE, MOORESVILLE, NC 28115-2544
(704) 663-3924
(704) 663-7057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TF
BCBS
NC
01
—
15906
PARTNERS MEDICARE CHOICE
NC
01
—
2209268
UNITED HEALTHCARE
NC
05
—
5906031
—
NC
01
—
DG1209
MEDICARE RAILROAD
NC
Enumeration date
08/02/2006
Last updated
02/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up