Provider Demographics
NPI:1871601633
Name:LAUVER, ROBERT OTTO (OD, FNORA, FCOVD,)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:OTTO
Last Name:LAUVER
Suffix:
Gender:M
Credentials:OD, FNORA, FCOVD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:20 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1106
Practice Address - Country:US
Practice Address - Phone:717-687-8141
Practice Address - Fax:717-388-4817
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000011152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPR069322Medicare ID - Type Unspecified
U76938Medicare UPIN