Provider Demographics
NPI:1598374225
Name:ROBAIR, MAYA M (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:M
Last Name:ROBAIR
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2724
Mailing Address - Country:US
Mailing Address - Phone:985-326-8232
Mailing Address - Fax:
Practice Address - Street 1:2601 N HULLEN ST STE 206
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5939
Practice Address - Country:US
Practice Address - Phone:504-931-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241337156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty