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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROGER MARVIN ALLYN, O.D.

Active Sole Proprietor

DR. ROGER MARVIN ALLYN, O.D. is a Optometrist healthcare provider located in LA PLATA, New Mexico. NPI 1093979874 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LA PLATA, NM

Registration Details

NPI Number
1093979874
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2008 (18.051002647967 yrs)
Last Updated
Jul 11, 2008
License
2219 OP (NM)
Sole Proprietor
Yes

Practice Information

Address
1170 HWY 170
LA PLATA, NM, 874180269
Browse NM providers · Browse ZIP 87418
Phone
5053252472
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.