JEREMY D. ROACH, O.D., P.C.
NPI 1174749386
Optometrist in Stigler, OK

Active since April 17, 2007
113 N BROADWAY ST, STIGLER, OK 74462(918) 967-4424(918) 967-2278 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeremy D. Roach, O.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY D. ROACH, O.D., P.C. (NPI 1174749386) is a healthcare organization registered as an optometrist in Stigler, Oklahoma and active in the NPI registry since April 2007. The organization lists Jeremy D Roach, President Owner, as its authorized official.

NPPES Registry Identity

NPI1174749386
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJEREMY D. ROACH, O.D., P.C.
Location Address113 N BROADWAY STStigler, OK 74462-2041
Mailing Address113 N Broadway StStigler, OK 74462-2041 · (918) 967-4424 · Fax (918) 967-2278
Fax(918) 967-2278
Organization SubpartNo
Authorized OfficialJeremy D RoachPresident Owner · (918) 967-4424
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 24, 2010
NPI 1174749386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 2316
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

113 N BROADWAY ST, Stigler, OK 74462

Other Identifiers 6

Medicaid100762800-AOK
Medicare PIN900522092OK
Other442900444003OK · Bcbs Of Ok
Medicare UPINU84587OK
Medicare PIN249341351OK
Medicare NSC4739010001OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174749386, enumerated as an "organization" on April 17, 2007.

The provider is located at 113 N BROADWAY ST STIGLER, OK 74462 and the phone number is (918) 967-4424.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.