Provider Demographics
NPI:1326222373
Name:ALAN A. ROPHIE OD PA
Entity Type:Organization
Organization Name:ALAN A. ROPHIE OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROPHIE
Authorized Official - Suffix:
Authorized Official - Credentials:OD PA
Authorized Official - Phone:727-733-0443
Mailing Address - Street 1:1228 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-4610
Mailing Address - Country:US
Mailing Address - Phone:727-733-0443
Mailing Address - Fax:727-733-0444
Practice Address - Street 1:1228 COUNTY ROAD 1
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-4610
Practice Address - Country:US
Practice Address - Phone:727-733-0443
Practice Address - Fax:727-733-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0475140001Medicare NSC