Organization Name: | ROBERT OPTICAL INC. |
NPI Number: | 1285759316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT JOHN SCHAEFER (OWNER) |
Mailing Address: | 4003 Harlem Rd Snyder |
State: | NY US |
Postal Code: | 142264707 |
Phone Number: | 7168391110 |
Fax Number: | 7168391178 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 3936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |