Roman Estrada

NPI 1396072302 · on the registry since 2009

Practice

Address: 3911 E State Route 69
Prescott, AZ 86301
Phone: (928) 541-2218
Fax: (928) 541-2257
Organisation at this address: Willer Optometry, Inc
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona