Roberts, Lori Rene

Roberts, Lori Rene is an individual health care provider with primary practice located at 967 Dougherty Rd , Aiken SC 29803-6017. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Roberts, Lori Rene can be contacted via phone (803) 617-7611.

Contact Information

Primary practice address
967 Dougherty Rd Aiken SC 29803-6017
Fax: (803) 761-7720
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC1307 South Carolina

Profile Details

NPI number 1467435883
LBN Legal business name Roberts, Lori Rene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 8th, 2022 - about 4 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 1467435883 NPPES
South Carolina MEDICAID D13073

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