Provider Demographics
NPI:1154474195
Name:SLIKKER, ROBYN DEE (OD)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:DEE
Last Name:SLIKKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16864 SAINT JAMES DR
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-1137
Mailing Address - Country:US
Mailing Address - Phone:858-675-0054
Mailing Address - Fax:858-675-0054
Practice Address - Street 1:2345 FENTON PKWY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4743
Practice Address - Country:US
Practice Address - Phone:619-521-1006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9690T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist