NPI 1003811860

Robert Alan Roush, OD

Practitioner Optometrist Kendallville, IN

Practice location

Address: 781 E North Street, Kendallville, IN 46755-1225
Phone: (260) 347-3458
Fax: (260) 347-4425

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18001875A (IN)

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Registry record

NPI: 1003811860
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.