Doctor Name: | MR. ROGER HALPHEN |
NPI Number: | 1205954682 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | DO 2506 |
Business Practice Address: | 56 Curtiss Pkwy Miami Springs, FL - 331665219 |
Business Phone Number: | 3058831105 |
Business Fax Number: | 3058839928 |
Mailing Address: | 56 Curtiss Pkwy, MIAMI SPRINGS |
State: | FL |
Postal Code: | 331665219 |
Phone Number: | 3058831105 |
Fax Number: | 3058839928 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | DO 2506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |