Organization Name: | GEORGE L. ROBERTS |
NPI Number: | 1992973820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE LAWRENCE ROBERTS (OWNER/OPTOMETRIST) |
Mailing Address: | 100 E Main St Schuylkill Haven |
State: | PA US |
Postal Code: | 179721677 |
Phone Number: | 5703852345 |
Fax Number: | 5703852345 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 03/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | OEG000046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |