MR. JERRY ROBERTS, OD

Optometrist

Active Individual
NPI: 1215912464

Practice Address

279 N GARDNER ST
Scottsburg, IN 47170

Phone: (812) 752-5106

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 18001504A (IN)

Frequently Asked Questions

NPI 1215912464 is the National Provider Identifier for MR. JERRY ROBERTS, OD, a Optometrist provider located in Scottsburg, IN. This NPI was enumerated on December 9, 2005.
MR. JERRY ROBERTS, OD practices at 279 N GARDNER ST, Scottsburg, IN 47170.

Quick Facts

NPI
1215912464
Type
Individual
Enumerated
Dec 9, 2005
Last Updated
Nov 5, 2008

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