TULLY STEPHEN ROISMAN M.D. NPI 1801822242

NPI Information

NPI: 1801822242
Provider Name: TULLY STEPHEN ROISMAN, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1151 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
Phone: (304) 529-2800
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Tully Stephen Roisman, M.D. is an ophthalmology in Huntington, WV. 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. Tully Stephen Roisman, M.D. NPI is 1801822242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1151 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701-705
Phone: (304) 529-2800
Fax: (304) 529-2802

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/29/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		23615	KENTUCKY	No
2	207W00000X	Ophthalmology		12735	WEST VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A72141	MEDICARE UPIN
2	64695562	MEDICAID	KENTUCKY
3	0940402	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
4	0499286	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
5	0096811000	MEDICAID	WEST VIRGINIA

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: 11/14/2023

NPI Synchronization or Removal

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