Provider Demographics
NPI:1194817866
Name:ROBERT M CURRIN OD PA
Entity Type:Organization
Organization Name:ROBERT M CURRIN OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-693-1133
Mailing Address - Street 1:203 E INDUSTRY DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-4001
Mailing Address - Country:US
Mailing Address - Phone:919-693-1133
Mailing Address - Fax:
Practice Address - Street 1:203 E INDUSTRY DR STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-4001
Practice Address - Country:US
Practice Address - Phone:919-693-1133
Practice Address - Fax:919-693-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1149152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909192Medicaid
NC0148010003Medicare NSC
NCT64995Medicare UPIN
NC8909192Medicaid
NC2471745Medicare PIN