Provider Demographics
NPI:1649207150
Name:RINEARSON, ROBIN (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:RINEARSON
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 1:5653 COLUMBIA PK
Mailing Address - Street 2:
Mailing Address - City:BAILEYS CROSSROADS
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2874
Mailing Address - Country:US
Mailing Address - Phone:703-578-3600
Mailing Address - Fax:703-379-6089
Practice Address - Street 1:5653 COLUMBIA PK
Practice Address - Street 2:
Practice Address - City:BAILEYS CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22041-2874
Practice Address - Country:US
Practice Address - Phone:703-578-3600
Practice Address - Fax:703-379-6089
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000114152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT31209Medicare UPIN
VA422825S39Medicare ID - Type UnspecifiedPROVIDER NUMBER