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WALTER C ROBERTS MD A PROFESSIONAL CORPORATION NPI 1437421195


NPI Information

NPI: 1437421195
Provider Name: WALTER C ROBERTS MD A PROFESSIONAL CORPORATION
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1510 S CENTRAL AVE STE 100
GLENDALE, CA
ZIP 91204
Phone: (213) 483-2416
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WALTER C ROBERTS MD A PROFESSIONAL CORPORATION is an ophthalmology in Glendale, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WALTER C ROBERTS MD A PROFESSIONAL CORPORATION NPI is 1437421195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 S CENTRAL AVE STE 100
GLENDALE, CA
ZIP 91204-582
Phone: (213) 483-2416
Fax: (213) 483-8211

The provider's authorized official is Walter Curtis Roberts .
The authorized official title is President and has the following contact phone number (213) 483-2416.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 6/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyG27442CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G274420MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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