Doctor Name: | DR. GEORGE L. ROBERTS |
NPI Number: | 1831179175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OEG000046 |
Business Practice Address: | 100 E. Main Street Schuylkill Haven, PA - 17972 |
Business Phone Number: | 5703852345 |
Business Fax Number: | 5703852345 |
Mailing Address: | 100 E Main St, SCHUYLKILL HAVEN |
State: | PA |
Postal Code: | 179721677 |
Phone Number: | 5703852345 |
Fax Number: | 5703852345 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 06/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OEG000046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |