Pickering, Roger M
Pickering, Roger M is an individual health care provider with primary practice located at 159 E Main St Suite F, Lehi UT 84043-2288. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pickering, Roger M can be contacted via phone (801) 766-1696.Contact Information
Primary practice address
159 E Main St Suite F
Lehi UT 84043-2288
Phone: (801) 766-1696
Fax: (801) 766-1822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4776849-9934 | Utah |
Profile Details
| NPI number | 1770577058 |
|---|---|
| LBN Legal business name | Pickering, Roger M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Apr 20th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770577058 | NPPES |
| Other | 290672 | ALTIUS HEALTH PLANS | |
| Other | 47768499900001 | ALTIUS HEALTH PLANS |
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