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NPI Code Detail

MEDICARE: MARGARET ELIZABETH ROACH

MEDICARE: MARGARET ELIZABETH ROACH
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
1156FX1800XOptician

General Provider Information

NPI Number : 1710822606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ELIZABETH ROACH
Provider Business Mailing Address
First Line : 39500 FORD RD
Second Line :
City : CANTON
State : MI
Zip : 48187-4311
Country : US
Telephone Number : 734-983-0556
Fax Number : 734-983-0558
Provider Business Practice Location Address
First Line : 39500 FORD RD
Second Line :
City : CANTON
State : MI
Zip : 48187-4311
Country : US
Telephone Number : 734-983-0556
Fax Number : 734-983-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ MARGARET ELIZABETH ROACH ” Practice Location

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