Roach, Michael P

Roach, Michael P is an individual health care provider with primary practice located at 1001 Sturdy Rd , Valparaiso IN 46383-4126. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roach, Michael P can be contacted via phone (219) 462-7173.

Contact Information

Primary practice address
1001 Sturdy Rd Valparaiso IN 46383-4126
Phone: (219) 462-7173
Fax: (219) 462-7504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002513 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18002513A Indiana

Profile Details

NPI number 1689711665
LBN Legal business name Roach, Michael P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 28th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689711665 NPPES
Indiana MEDICAID 200853920

Popular Providers