Doctor Name: | MR. ROGER WILLIAM NAYLOR |
NPI Number: | 1417003872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | D1092 |
Business Practice Address: | 442 Lacey Rd Suite #3 Forked River, NJ - 087310724 |
Business Phone Number: | 6096933944 |
Business Fax Number: | 6099710265 |
Mailing Address: | 442 Lacey Rd, Suite #3 FORKED RIVER |
State: | NJ |
Postal Code: | 087310724 |
Phone Number: | 6096933944 |
Fax Number: | 6099710265 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | D1092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |