Organization
ROGER TOTTEN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER BYRON TOTTEN O.D. (OPTOMETRIST/CEO)
(870) 368-7921
Entity
Organization
Contact information
Practice address
102 SPRING STREET, MELBOURNE, AR 72556
(870) 368-7921
(870) 368-7789
Mailing address
PO BOX 97, MELBOURNE, AR 72556-0097
(870) 368-7921
(870) 368-7789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2195
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140563722
—
AR
01
—
DN0083
RR MEDICARE
AR
Enumeration date
10/04/2007
Last updated
10/11/2010
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