| Roger Totten Od Pa | |
|
102 Spring Street, Melbourne, AR 72556 | |
| (870) 368-7921 | |
| (870) 368-7789 |
| Full Name | Roger Totten Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 102 Spring Street, Melbourne, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932397858 | NPI | - | NPPES |
| 140563722 | Medicaid | AR | |
| DN0083 | Other | AR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2195 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Totten Od Pa Po Box 97, Melbourne, AR 72556-0097 Ph: (870) 368-7921 | Roger Totten Od Pa 102 Spring Street, Melbourne, AR 72556 Ph: (870) 368-7921 |
Roger Byron Totten, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Spring Street, Melbourne, AR 72556 Phone: 870-368-7921 Fax: 870-368-7789 | |
Progressive Eye Center Of Melbourne, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Spring St, Melbourne, AR 72556 Phone: 870-257-2100 Fax: 870-257-4395 |