Provider Demographics
NPI:1699578203
Name:SOMOGY, ROMAN CHRISTOPHER (OD)
Entity type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:CHRISTOPHER
Last Name:SOMOGY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 E MAIN ST APT 1/2
Mailing Address - Street 2:
Mailing Address - City:ANAMOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52205-1845
Mailing Address - Country:US
Mailing Address - Phone:651-829-1615
Mailing Address - Fax:
Practice Address - Street 1:603 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-1845
Practice Address - Country:US
Practice Address - Phone:319-462-4891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131501152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist