Individual
STEVE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4220 JENNY LIND RD, FORT SMITH, AR 72901-7660
(479) 646-5323
Mailing address
4220 JENNY LIND RD, FORT SMITH, AR 72901-7660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105755722
—
AR
01
—
410000069
RAILROAD MEDICARE (PALMETTO)
AR
Enumeration date
09/25/2006
Last updated
08/26/2013
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