Roscoe, William Robert

Roscoe, William Robert is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roscoe, William Robert can be contacted via phone (216) 778-5830.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Phone: (216) 778-5830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3370, T-103 Ohio

Profile Details

NPI number 1932102340
LBN Legal business name Roscoe, William Robert
Credentials O.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 28th, 2014 - about 12 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 1932102340 NPPES
Ohio MEDICAID 0612715

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