Roberson, Rex M

Roberson, Rex M is an individual health care provider with primary practice located at 200 W County Line Rd 150, Highlands Ranch CO 80129-2360. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roberson, Rex M can be contacted via phone (303) 794-2433.

Contact Information

Primary practice address
200 W County Line Rd 150 Highlands Ranch CO 80129-2360
Fax: (303) 730-3019
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1238 Colorado

Profile Details

NPI number 1104875079
LBN Legal business name Roberson, Rex M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104875079 NPPES
Colorado MEDICAID 08123804

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