Provider Demographics
NPI:1043476518
Name:CHERYL K ROBSON OD PC
Entity type:Organization
Organization Name:CHERYL K ROBSON OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-665-0541
Mailing Address - Street 1:905 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2705
Mailing Address - Country:US
Mailing Address - Phone:540-665-0541
Mailing Address - Fax:540-665-8286
Practice Address - Street 1:905 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2705
Practice Address - Country:US
Practice Address - Phone:540-665-0541
Practice Address - Fax:540-665-8286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADF8254OtherMEDICARE RR
VA6191460001Medicare NSC
VAGC1072Medicare PIN