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Roger Totten Od Pa

Roger Totten Od Pa is a health care provider in Melbourne, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 102 Spring Street, Melbourne, AR 72556, US
Practice Location Phone870-368-7921
Practice Location Fax870-368-7789
Legal Business NameROGER TOTTEN OD PA
NPI ?1932397858
Entity TypeOrganization
Enumeration Date ? Oct 4, 2007
Last Update Date ? Oct 11, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Roger Totten Od Pa

SpecialtySpecializationLicenseLicense State
Optometrist 2195Arkansas

legacy-id-icon Legacy Provider IDs of Roger Totten Od Pa

Provider IdIssuer StateIssuer TypeIssuer
140563722ArkansasMedicaid
DN0083ArkansasOtherRR MEDICARE
=========ArkansasOtherTRICARE

official-icon Authorized Official of Roger Totten Od Pa

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Roger Totten Od Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Roger Byron Totten (O.D.)
Authorized Official Title/PositionOPTOMETRIST/CEO
Authorized Official Phone Number870-368-7921