Robin Mevissen OD

NPI 1164500864 - Optometrist - 152W00000X

NPI Details
NPI 1164500864
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
20005 B FISHER AVE
POOLESVILLE MD, 20837, US
Phone (301) 916-3214
Fax (301) 916-3101
Business Location
19739 SELBY AVE
POOLESVILLE MD, 20837-2408, US
Phone (301) 916-3214
Fax (301) 916-3101
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000326
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According to our database, Robin Mevissen OD NPI is 1164500864, taxonomy code is 152W00000X and license number is 0618000326, license state is located at Virginia. Robin Mevissen OD physically located at 20005 B Fisher Ave, Poolesville MD, 20837. NPI Number Robin Mevissen OD has the Individual type.

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1164500864 NPI number is provided on an as is basis without warranty of any kind. 1164500864 is maintained by the National Plan & Provider Enumeration System. The contents of Robin Mevissen OD are for informational purposes only.