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NPI Code Detail

MEDICARE: DR. TRISHA M ROBERTS OD

MEDICARE: DR. TRISHA M ROBERTS OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2034NC
2152W00000XOptometristOEG001793PA
3152W00000XOptometrist1648SC

General Provider Information

NPI Number : 1780731471
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRISHA M ROBERTS OD
Provider Business Mailing Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number :
Provider Business Practice Location Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 11/26/2014

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Directions to “ DR. TRISHA M ROBERTS OD” Practice Location

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