Provider Demographics
NPI:1518952134
Name:SCHERRER, ROBERT WILLIAM (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:SCHERRER
Suffix:
Gender:M
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:PO BOX 118
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-794-4080
Mailing Address - Fax:804-794-4222
Practice Address - Street 1:13445 MIDLOTHIAN TPKE
Practice Address - Street 2:BOX118
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-4213
Practice Address - Country:US
Practice Address - Phone:804-794-4080
Practice Address - Fax:804-794-4222
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA603152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0146120001OtherDMEMAC-JURISDICTION C
VA410000438OtherMEDICARE PART B